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PBJ MEDICAL, LLC - Florida Company Profile

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Company Details

Entity Name: PBJ MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PBJ MEDICAL, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 17 Dec 2020 (5 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 05 Feb 2021 (4 years ago)
Document Number: L20000394230
FEI/EIN Number 86-2378677

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7512 DR. PHILLIPS BLVD, SUITE 50-247, ORLANDO, FL, 32819, US
Mail Address: 7512 DR. PHILLIPS BLVD, SUITE 50-247, ORLANDO, FL, 32819, US
ZIP code: 32819
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PRUITT KEVIN Manager 7512 DR. PHILLIPS BLVD, ORLANDO, FL, 32819
BLISS ROBERT Manager 1087 56th Ave. South, St. Pete, FL, 33705
JONES DWAYNE Manager 13213 Shady Stables Lane, DOVER, FL, 33527
PRUITT KEVIN Agent 7512 DR. PHILLIPS BLVD, ORLANDO, FL, 32819

National Provider Identifier

NPI Number:
1093597544
Certification Date:
2023-10-19

Authorized Person:

Name:
MR. DWAYNE JONES SR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1835P0018X - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000044928 PBJ MEDICAL RX ACTIVE 2023-04-08 2028-12-31 - 7512 DR. PHILLIPS BLVD, ORLANDO, FL, 32819
G22000040486 PBJ MEDICAL ASSOCIATES ACTIVE 2022-03-30 2027-12-31 - 7512 DR. PHILLIPS BLVD, ORLANDO, FL, 32819
G21000029877 ADVANCED IV INFUSION ACTIVE 2021-03-03 2026-12-31 - 7512 DR PHILLIPS BLVD SUITE 50-247, ORLANDO, FL, 32819
G21000029894 PBJ IV INFUSIONS ACTIVE 2021-03-03 2026-12-31 - 7512 DR PHILLIPS BLVD SUITE 50-247, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2021-02-05 PBJ MEDICAL, LLC -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-03-25
ANNUAL REPORT 2022-02-27
ANNUAL REPORT 2021-03-03
LC Name Change 2021-02-05
Florida Limited Liability 2020-12-17

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Date of last update: 01 Jun 2025

Sources: Florida Department of State