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JASPER MEDICAL GROUP, LLC - Florida Company Profile

Company Details

Entity Name: JASPER MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

JASPER MEDICAL GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 30 Oct 2013 (11 years ago)
Date of dissolution: 07 Oct 2021 (3 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 07 Oct 2021 (3 years ago)
Document Number: L13000153072
FEI/EIN Number NOT APPLICABLE

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, US
Mail Address: 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932539475 2013-11-20 2013-11-27 1150 US HIGHWAY 41 NW, SUITE 11 & 12, JASPER, FL, 320525888, US 1150 US HIGHWAY 41 NW, SUITE 11 & 12, JASPER, FL, 320525888, US

Contacts

Phone +1 239-552-3748

Authorized person

Name MS. STACI LUCIUS
Role VICE PRESIDENT
Phone 2395523575

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Hammons Kevin J Manager 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067
Hingtgen Tim L Manager 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067
Fordham Benjamin C Manager 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067
CORPORATION SERVICE COMPANY Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000121018 HAMILTON PRIMARY CARE EXPIRED 2013-12-11 2018-12-31 - 1150 NW US41 NORTH, SUITE 11 AND 12, JASPER, FL, 32052

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2021-10-07 - -
CHANGE OF PRINCIPAL ADDRESS 2014-05-01 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 -
CHANGE OF MAILING ADDRESS 2014-05-01 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 -
REGISTERED AGENT NAME CHANGED 2014-02-25 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2014-02-25 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
LC Voluntary Dissolution 2021-10-07
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-05-03
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-05-01
Reg. Agent Change 2014-02-25

Date of last update: 01 Mar 2025

Sources: Florida Department of State