| Entity Name: | JBH MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2018 (6 years ago) |
| Document Number: | L17000206536 |
| FEI/EIN Number | 82-3018180 |
| Address: | 1376 Lake Baldwin Ln Unit B, ORLANDO, FL, 32814, US |
| Mail Address: | 1376 lake Baldwin Ln Unit B, ORLANDO, FL, 32814, US |
| ZIP code: | 32814 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720591894 | 2017-11-13 | 2017-11-13 | 1452 E MICHIGAN ST, ORLANDO, FL, 328064817, US | 1452 E MICHIGAN ST, ORLANDO, FL, 328064817, US | |||||||||||||||||||
|
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| Phone | +1 407-234-5282 |
| Fax | 4076503274 |
Authorized person
| Name | JEAUDINE BONTEMPS |
| Role | OWNER |
| Phone | 4076198596 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME94807 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HILL FREDERICK A | Agent | 1376 Lake Baldwin Ln Unit B, ORLANDO, FL, 32814 |
| Name | Role | Address |
|---|---|---|
| JEAUDINE HILL BDr. | Manager | 1376 Lake Baldwin Ln Unit B, ORLANDO, FL, 32814 |
| Name | Role | Address |
|---|---|---|
| FREDERICK HILL A | Auth | 1376 Lake Baldwin Ln Unit b, ORLANDO, FL, 32814 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-13 | 1376 Lake Baldwin Ln Unit B, ORLANDO, FL 32814 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-13 | 1376 Lake Baldwin Ln Unit B, ORLANDO, FL 32814 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-13 | 1376 Lake Baldwin Ln Unit B, ORLANDO, FL 32814 | No data |
| REINSTATEMENT | 2018-10-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-06 | HILL, FREDERICK A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-26 |
| REINSTATEMENT | 2018-10-06 |
| Florida Limited Liability | 2017-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
