| Entity Name: | JERMAINE CAMPBELL DO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jan 2019 (6 years ago) |
| Document Number: | L19000004427 |
| FEI/EIN Number | 83-3127093 |
| Address: | 8201 N University Drive, Tamarac, FL, 33321, US |
| Mail Address: | 12491 BAYWIND CT, DRDAIN16@GMAIL.COM, BOCA RATON, FL, 33428 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467051896 | 2020-10-16 | 2023-11-27 | 12491 BAYWIND CT, BOCA RATON, FL, 334284704, US | 2701 N COURSE DR APT 125, POMPANO BEACH, FL, 330693030, US | |||||||||||||
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| Phone | +1 754-264-6061 |
Authorized person
| Name | DR. JERMAINE CAMPBELL |
| Role | CEO |
| Phone | 7542646061 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMPBELL JERMAINE | Agent | 12491 BAYWIND CT, BOCA RATON, FL, 33428 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL JERMAINE | Manager | 12491 BAYWIND CT, BOCA RATON, FL, 33428 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000066903 | VENTUREHEALTH | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 2701 N COURSE DRIVE STE 125, POMPANO BEACH, FL, 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 8201 N University Drive, Tamarac, FL 33321 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-06-18 |
| ANNUAL REPORT | 2020-06-28 |
| Florida Limited Liability | 2019-01-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
