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JOHN BAILEY, D.O., LLC.

Company Details

Entity Name: JOHN BAILEY, D.O., LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Jun 2014 (11 years ago)
Document Number: L14000097552
FEI/EIN Number 47-1128762
Address: 1804 MICCOSUKEE COMMONS DR, 204, TALLAHASSEE, FL 32308
Mail Address: 1804 MICCOSUKEE COMMONS DR, 204, TALLAHASSEE, FL 32308
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184015067 2015-02-12 2015-02-12 1804 MICCOSUKEE COMMONS DR, SUITE 204, TALLAHASSEE, FL, 323085470, US 1804 MICCOSUKEE COMMONS DR, SUITE 204, TALLAHASSEE, FL, 323085470, US

Contacts

Phone +1 850-383-9991
Fax 8503839993

Authorized person

Name JOHN TEMPLE BAILEY
Role OWNER
Phone 8503839991

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number OS5349
State FL
Is Primary Yes

Agent

Name Role Address
SWITALSKI, DAVID B Agent 1018 THOMASVILLE RD STE 111-A, TALLAHASSEE, FL 32303

Manager

Name Role Address
BAILEY, JOHN, Dr. Manager 1804 MICCOSUKEE COMMONS DR, 204 TALLAHASSEE, FL 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-02-24 1804 MICCOSUKEE COMMONS DR, 204, TALLAHASSEE, FL 32308 No data
CHANGE OF MAILING ADDRESS 2015-02-24 1804 MICCOSUKEE COMMONS DR, 204, TALLAHASSEE, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-05-03
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-02-24

Date of last update: 21 Jan 2025

Sources: Florida Department of State