| Entity Name: | JC MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 May 2019 (6 years ago) |
| Document Number: | L19000135434 |
| FEI/EIN Number | 84-1924461 |
| Address: | 709 Great Egret way, Ponte Vedra Beach, FL, 32082, US |
| Mail Address: | 709 Great Egret way, Ponte Vedra Beach, FL, 32082, US |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679547889 | 2006-02-14 | 2020-08-22 | 5368 W 12TH AVE, HIALEAH, FL, 330123030, US | 5368 W 12TH AVE, HIALEAH, FL, 330123030, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-822-1907 |
| Fax | 3055576902 |
Authorized person
| Name | MS. MARIA SANTAMARINA |
| Role | PRESIDENT |
| Phone | 3058221907 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 720 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| License Number | 720 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 720 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 720 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COYLE JAMES P | Agent | 709 Great Egret way, Ponte Vedra Beach, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| COYLE JAMES P | President | 709 Great Egret way, Ponte Vedra Beach, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 709 Great Egret way, Ponte Vedra Beach, FL 32082 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-07 | 709 Great Egret way, Ponte Vedra Beach, FL 32082 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 709 Great Egret way, Ponte Vedra Beach, FL 32082 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-14 |
| Florida Limited Liability | 2019-05-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
