| Entity Name: | REVELATION FAMILY MEDICINE OFFICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
REVELATION FAMILY MEDICINE OFFICE 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: | 08 Jan 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000006308 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3939 HOLLYWOOD BLVD, SUITE 3B, HOLLYWOOD, FL 33021 |
| Mail Address: | 3939 HOLLYWOOD BLVD, SUITE 3B, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912472200 | 2018-10-12 | 2018-10-12 | 3939 HOLLYWOOD BLVD STE 300B, HOLLYWOOD, FL, 330216749, US | 3939 HOLLYWOOD BLVD STE 300B, HOLLYWOOD, FL, 330216749, US | |||||||||||||
|
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| Phone | +1 786-863-8633 |
Authorized person
| Name | MR. JEAN-MARCEL FORTE |
| Role | CERTIFIED PHYSICIAN ASSISTANT |
| Phone | 3058074283 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FORTE, JEAN-MARCEL | Agent | 3453 FILLMORE STREET, HOLLYWOOD, FL 33021 |
| FORTE, JEAN-MARCEL | Manager | 3453 FILLMORE STREET, HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REINSTATEMENT | 2022-11-20 | - | - |
| REGISTERED AGENT NAME CHANGED | 2022-11-20 | FORTE, JEAN-MARCEL | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-24 | 3939 HOLLYWOOD BLVD, SUITE 3B, HOLLYWOOD, FL 33021 | - |
| CHANGE OF MAILING ADDRESS | 2018-09-24 | 3939 HOLLYWOOD BLVD, SUITE 3B, HOLLYWOOD, FL 33021 | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2022-11-20 |
| ANNUAL REPORT | 2019-04-11 |
| Florida Limited Liability | 2018-01-08 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
