| Entity Name: | JUNIPER HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 May 2020 (5 years ago) |
| Document Number: | L20000118419 |
| FEI/EIN Number | 85-0898056 |
| Address: | 160 SE 6TH AVE, SUITE A1, DELRAY BEACH, FL 33483 |
| Mail Address: | 160 SE 6TH AVE, SUITE A1, DELRAY BEACH, FL 33483 |
| ZIP code: | 33483 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275110058 | 2021-03-26 | 2023-12-20 | 160 SE 6TH AVE STE A1, DELRAY BEACH, FL, 334835264, US | 160 SE 6TH AVE STE A1, DELRAY BEACH, FL, 334835264, US | |||||||||||||||||
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| Phone | +1 561-475-4388 |
Authorized person
| Name | JAMES LIM |
| Role | MEMBER |
| Phone | 5614754388 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| ANDERSON REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| LIM, JAMES | Authorized Member | 3225 MCLEOD DR, SUITE 100, LAS VEGAS, NV 89121 |
| FAVARETO, ANA | Authorized Member | 3225 MCLEOD DR, SUITE 100, LAS VEGAS, NV 89121 |
| MCMINN, CARLY | Authorized Member | 3225 MCLEOD DR, SUITE 100, LAS VEGAS, NV 89121 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000029194 | JUNIPER HEALTH | ACTIVE | 2021-03-02 | 2026-12-31 | No data | 160 SE 6TH AVENUE, SUITE A-1, DELRAY BEACH, FL, 33483 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-12 | 625 E.TWIGGS STREET, SUITE 110, TAMPA, FL 33602 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-11 | 160 SE 6TH AVE, SUITE A1, DELRAY BEACH, FL 33483 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-11 | 160 SE 6TH AVE, SUITE A1, DELRAY BEACH, FL 33483 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-31 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-05-01 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
