Entity Name: | JUNO DOCTORS GROUP, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 21 Nov 2014 (10 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 01 Oct 2015 (9 years ago) |
Document Number: | L14000180908 |
FEI/EIN Number | 47-2462211 |
Mail Address: | 13211 US Highway 1, Juno Beach, FL, 33408, US |
Address: | 13351 US HIGHWAY 1, Juno Beach, FL, 33408, US |
ZIP code: | 33408 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225401201 | 2015-11-12 | 2016-09-21 | 13211 US HIGHWAY 1, JUNO BEACH, FL, 334082222, US | 13211 US HIGHWAY 1, JUNO BEACH, FL, 334082222, US | |||||||||||||||||||||
|
Phone | +1 561-337-3200 |
Fax | 8446812025 |
Authorized person
Name | GLENN COHEN |
Role | CEO |
Phone | 5613373200 |
Taxonomy
Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AHCA LICENSE |
Number | HCC10607 |
State | FL |
Name | Role | Address |
---|---|---|
Boyko Nataliya | Agent | 13211 US Highway 1, Juno Beach, FL, 33408 |
Name | Role |
---|---|
JUNO HOLDINGS, LLC | Manager |
Name | Role | Address |
---|---|---|
PUNDT MARK | Authorized Member | 13211 US Highway 1, Juno Beach, FL, 33408 |
Name | Role | Address |
---|---|---|
Boyko Nataliya | Auth | 13211 US Highway 1, Juno Beach, FL, 33408 |
PUNDT MARK | Auth | 13211 US Highway 1, Juno Beach, FL, 33408 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2021-03-30 | Boyko, Nataliya | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-10-04 | 13351 US HIGHWAY 1, Juno Beach, FL 33408 | No data |
CHANGE OF MAILING ADDRESS | 2016-02-17 | 13351 US HIGHWAY 1, Juno Beach, FL 33408 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2016-02-17 | 13211 US Highway 1, Juno Beach, FL 33408 | No data |
LC AMENDMENT | 2015-10-01 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-22 |
AMENDED ANNUAL REPORT | 2023-04-26 |
ANNUAL REPORT | 2023-01-30 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-03-30 |
ANNUAL REPORT | 2020-01-27 |
ANNUAL REPORT | 2019-05-01 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-01-10 |
ANNUAL REPORT | 2016-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State