| Entity Name: | JB & JB HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | L16000202104 |
| FEI/EIN Number | 81-4417603 |
| Address: | 1764 SW CATALONIA ST, SUITE 202, PORT ST LUCIE, FL, 34987, US |
| Mail Address: | 1764 SW CATALONIA ST, PORT ST LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851877435 | 2018-07-17 | 2019-07-19 | 3001 NW 49TH AVE STE 300, LAUDERDALE LAKES, FL, 333137266, US | 3001 NW 49TH AVE STE 300, LAUDERDALE LAKES, FL, 33313, US | |||||||||||||||||||||||
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| Phone | +1 954-353-5168 |
| Fax | 9542569328 |
Authorized person
| Name | LAURA B BURKE |
| Role | MGMR |
| Phone | 9545634472 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013551700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JEAN-BAPTISTE HANS | Agent | 1764 SW CATALONIA ST, PORT ST LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| Jean-Baptiste Hans | Authorized Member | 1764 SW CATALONIA ST, PORT ST LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 1764 SW CATALONIA ST, SUITE 202, PORT ST LUCIE, FL 34987 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 1764 SW CATALONIA ST, SUITE 202, PORT ST LUCIE, FL 34987 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-19 | 1764 SW CATALONIA ST, PORT ST LUCIE, FL 34987 | No data |
| REINSTATEMENT | 2023-09-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-29 | JEAN-BAPTISTE, HANS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| REINSTATEMENT | 2023-09-29 |
| ANNUAL REPORT | 2022-08-11 |
| ANNUAL REPORT | 2021-08-04 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-04-10 |
| Florida Limited Liability | 2016-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
