| Entity Name: | JSK JSN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
JSK JSN, 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. |
| 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: | 20 Mar 2015 (10 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L15000050646 |
| FEI/EIN Number |
473502892
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14807 East Colonial Drive, Suite # 112, Orlando, FL, 32826, US |
| Mail Address: | 3312 Bromley Lane, Aurora, IL, 60502, US |
| ZIP code: | 32826 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437531308 | 2015-06-26 | 2016-06-22 | 14807 E COLONIAL DR, SUITE 112, ORLANDO, FL, 328265122, US | 14807 E COLONIAL DR, SUITE 112, ORLANDO, FL, 328265122, US | |||||||||||||||||||||
|
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| Phone | +1 321-289-1951 |
| Phone | +1 407-250-6742 |
Authorized person
| Name | DR. KAUSHIKKUMAR K. PATEL |
| Role | DOCTOR |
| Phone | 3212891951 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 17451100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAYLESS TOBY | Agent | 3312 Bromley Lane, Aurora, FL, 60502 |
| Prime Care Consulting & Managment LLC | Manager | 3312 Bromley Lane, Aurora, IL, 60502 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000087094 | ALAFAYA MEDICAL WALK IN CLINIC | EXPIRED | 2015-08-23 | 2020-12-31 | - | 3 INDIAN RIVER, SUITE 1201, TITUSVILLE, FL, 32796 |
| G15000030454 | AVALON MEDICAL WALK IN CLINIC | EXPIRED | 2015-03-24 | 2020-12-31 | - | 3595 RANEY ROAD, TITUSVILLE, FL, 32780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 3312 Bromley Lane, Aurora, FL 60502 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-14 | 14807 East Colonial Drive, Suite # 112, Orlando, FL 32826 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-14 | 14807 East Colonial Drive, Suite # 112, Orlando, FL 32826 | - |
| REGISTERED AGENT NAME CHANGED | 2020-01-14 | BAYLESS, TOBY | - |
| REINSTATEMENT | 2016-12-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| LC AMENDMENT | 2015-07-20 | - | - |
| LC AMENDMENT | 2015-04-15 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-10 |
| REINSTATEMENT | 2016-12-01 |
| LC Amendment | 2015-07-20 |
| LC Amendment | 2015-04-15 |
| Florida Limited Liability | 2015-03-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
