| Entity Name: | JOURNEYPURE PANHANDLE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 May 2016 (9 years ago) |
| Document Number: | L16000092788 |
| FEI/EIN Number | 81-2659598 |
| Mail Address: | 6460 NW 5th Way, Fort Lauderdale, FL, 33309, US |
| Address: | 22219 PANAMA CITY BEACH PRKWY, PANAMA CITY BEACH, FL, 32413, US |
| ZIP code: | 32413 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033567268 | 2016-05-27 | 2021-01-12 | 22219 PANAMA CITY BEACH PKWY, PANAMA CITY, FL, 324133227, US | 22219 PANAMA CITY BEACH PKWY, PANAMA CITY, FL, 324133227, US | |||||||||||||||||
|
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| Phone | +1 850-249-4300 |
Authorized person
| Name | KAYLA DECKERT |
| Role | DIRECTOR OF CONTRACTING |
| Phone | 6155194156 |
Taxonomy
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| License Number | 59359 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VSTATE FILINGS LLC | Agent |
| Name | Role |
|---|---|
| JOURNEYPURE PANHANDLE LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-02 | VSTATE FILINGS LLC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-02 | 7064 Northwest 49th Street, Lauderhill, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-28 | 22219 PANAMA CITY BEACH PRKWY, PANAMA CITY BEACH, FL 32413 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-03 | Dentons Cohen & Grigsby PC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | Mercato Suite 6200 6110 Strada PL, Naples, FL 34108 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-07-15 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-22 |
| Florida Limited Liability | 2016-05-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
