| Entity Name: | KRISTIN M. JACKSON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2018 (6 years ago) |
| Document Number: | L18000197550 |
| FEI/EIN Number | 83-1677882 |
| Address: | 260 LOOKOUT PLACE, SUITE 201, MAITLAND, FL, 32751 |
| Mail Address: | 260 Lookout Place, Maitland, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649748666 | 2018-11-07 | 2018-12-26 | 260 LOOKOUT PL STE 201, MAITLAND, FL, 327514485, US | 260 LOOKOUT PL STE 201, MAITLAND, FL, 327514485, US | |||||||||||||||
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| Phone | +1 407-898-9804 |
| Fax | 4078989805 |
Authorized person
| Name | DR. KRISTIN JACKSON |
| Role | OWNER |
| Phone | 4079027400 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACKSON RICHARD | Agent | 260 LOOKOUT PLACE, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| KRISTIN JACKSON M | Manager | 260 LOOKOUT PLACE, MAITLAND, FL, 32751 |
| RICHARD JACKSON | Manager | 260 Lookout Place, Maitland, FL, 32751 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000117050 | ADVANCED UROGYNECOLOGY | ACTIVE | 2018-10-30 | 2028-12-31 | No data | 260 LOOKOUT PLACE, SUITE 201, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-23 | 260 LOOKOUT PLACE, SUITE 201, MAITLAND, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-23 |
| Florida Limited Liability | 2018-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
