| Entity Name: | JACK M MATHENY II MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
JACK M MATHENY II MD, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 Jan 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 May 2019 (6 years ago) |
| Document Number: | L19000007168 |
| FEI/EIN Number |
833133859
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 700 ZEAGLER DRIVE, SUITE 10, PALATKA, FL, 32177, US |
| Mail Address: | PO BOX 330196, ATLANTIC BEACH, FL, 32233, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578399747 | 2024-09-12 | 2024-09-15 | PO BOX 330196, ATLANTIC BEACH, FL, 322330196, US | 700 ZEAGLER DR STE 10, PALATKA, FL, 321773826, US | |||||||||||||||||||||
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| Phone | +1 386-328-6746 |
Authorized person
| Name | DR. SATISH V RAVI |
| Role | DIRECTOR |
| Phone | 3863286746 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FIRST COAST BETTER HEALTH AND WELLNESS GRO | Auth | 700 ZEAGLER DRIVE, PALATKA, FL, 32177 |
| RAVI SATISH | Agent | 700 ZEAGLER DRIVE, PALATKA, FL, 32177 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000063642 | BETTER HEALTH AND WELLNESS CLINIC | ACTIVE | 2024-05-16 | 2029-12-31 | - | PO BOX 330196, ATLANTIC BEACH, FL, 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-16 | 700 ZEAGLER DRIVE, SUITE 10, PALATKA, FL 32177 | - |
| REGISTERED AGENT NAME CHANGED | 2024-05-16 | RAVI, SATISH | - |
| LC AMENDMENT | 2019-05-06 | - | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-16 |
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-01-31 |
| LC Amendment | 2019-05-06 |
| Florida Limited Liability | 2019-01-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5685477708 | 2020-05-01 | 0491 | PPP | 700 ZEAGLER DR STE 10, PALATKA, FL, 32177-3826 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
