| Entity Name: | JP HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Nov 2017 (7 years ago) |
| Document Number: | L14000034320 |
| FEI/EIN Number | 46-4961562 |
| Address: | 14311 SW 36 ST, MIAMI, FL 33175 |
| Mail Address: | 14311 SW 36 ST, MIAMI, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578061529 | 2018-01-24 | 2018-01-24 | 14311 SW 36TH ST, MIAMI, FL, 331757404, US | 2001 W 68TH ST, HIALEAH, FL, 330161801, US | |||||||||||||||||||||||
|
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| Phone | +1 305-823-5000 |
Authorized person
| Name | DR. JOSE PAZ |
| Role | PHYSICIAN |
| Phone | 3052830695 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS12253 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013911000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Paz, Angeles J | Agent | 14311 SW 36 ST, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| PAZ, ANGELES | Manager | 14311 SW 36 ST, MIAMI, FL 33175 |
| PAZ, JOSE | Manager | 14311 SW 36 ST, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-11-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-17 | 14311 SW 36 ST, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-17 | 14311 SW 36 ST, MIAMI, FL 33175 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-07-17 | Paz, Angeles J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-17 | 14311 SW 36 ST, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-05-07 |
| REINSTATEMENT | 2017-11-28 |
| AMENDED ANNUAL REPORT | 2015-07-17 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
