| Entity Name: | J. HOWELL TILLER, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
J. HOWELL TILLER, MD, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Apr 2017 (8 years ago) |
| Document Number: | L17000084218 |
| FEI/EIN Number |
82-1269432
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 100 S. BAYLEN STREET, SUITE E, PENSACOLA, FL, 32502 |
| Mail Address: | 100 S. BAYLEN STREET, SUITE E, PENSACOLA, FL, 32502 |
| ZIP code: | 32502 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043932783 | 2022-09-19 | 2023-08-31 | 100 S BAYLEN ST STE E, PENSACOLA, FL, 325025825, US | 100 S BAYLEN ST STE E, PENSACOLA, FL, 325025825, US | |||||||||||||||||||
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| Phone | +1 850-497-6707 |
Authorized person
| Name | JOHN TILLER |
| Role | OWNER/PROVIDER |
| Phone | 8503561279 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL |
| Number | ME70006 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TILLER JOHN H | Manager | 516 W. CHASE STREET, PENSACOLA, FL, 32502 |
| TILLER JOHN H | Agent | 516 W. CHASE STREET, PENSACOLA, FL, 32502 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000043489 | PENSACOLA COSMETIC SURGERY | EXPIRED | 2017-04-21 | 2022-12-31 | - | 100 S. BAYLEN STREET, SUITE E, PENSACOLA, FL, 32502 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-02-22 |
| Florida Limited Liability | 2017-04-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5914737806 | 2020-05-30 | 0491 | PPP | 100 S BAYLEN ST SUITE E, PENSACOLA, FL, 32502-5810 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6392318409 | 2021-02-10 | 0491 | PPS | 100 S Baylen St Ste E, Pensacola, FL, 32502-5825 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
