| Entity Name: | JOHNNY BERNARD JR MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2018 (7 years ago) |
| Document Number: | L18000017192 |
| FEI/EIN Number | 82-4127316 |
| Address: | 6029 Old Kings Road, PALM COAST, FL, 32137, US |
| Mail Address: | 159 ISLAND ESTATES PKWY, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861167694 | 2021-08-13 | 2023-09-18 | PO BOX 1809, FLAGLER BEACH, FL, 321361809, US | 6029 OLD KINGS ROAD, PALM COAST, FL, 32137, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-788-1906 |
| Fax | 3212802479 |
| Phone | +1 901-301-1942 |
| Fax | 3862835170 |
Authorized person
| Name | DR. JOHNNY R BERNARD JR. |
| Role | OWNER |
| Phone | 9013011942 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300D3FG71NFEOBP86 | L18000017192 | US-FL | GENERAL | ACTIVE | 2018-01-19 | |||||||||||||||||||
|
||||||||||||||||||||||||
| Legal | C/O BERNARD, JOHNNY R, JR., 159 ISLAND ESTATES PKWY, Palm Coast, US-FL, US, 32137-2206 |
| Headquarters | 159 Island Estates Pkwy, Palm Coast, US-FL, US, 32137-2206 |
Registration details
| Registration Date | 2022-11-11 |
| Last Update | 2023-11-11 |
| Status | LAPSED |
| Next Renewal | 2023-11-11 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L18000017192 |
| Name | Role | Address |
|---|---|---|
| BERNARD JOHNNY RJR. | Agent | 159 ISLAND ESTATES PKWY, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| BERNARD JOHNNY RJR. | Manager | 159 ISLAND ESTATES PKWY, PALM COAST, FL, 32137 |
| BERNARD TARALYN R | Manager | 159 ISLAND ESTATES PKWY, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-02 | 6029 Old Kings Road, PALM COAST, FL 32137 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-02 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-01-26 |
| Florida Limited Liability | 2018-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
