| Entity Name: | DR. JAKE MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Jan 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000013455 |
| Address: | 2484 CARING WAY, PORT CHARLOTTE, FL 33952 |
| Mail Address: | 2484 CARING WAY, PORT CHARLOTTE, FL 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306437199 | 2021-02-03 | 2021-06-04 | 2484 CARING WAY UNIT A, PORT CHARLOTTE, FL, 339525306, US | 2484 CARING WAY UNIT A, PORT CHARLOTTE, FL, 339525306, US | |||||||||||||||||
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| Phone | +1 701-351-2566 |
| Phone | +1 941-979-5154 |
| Fax | 9412358901 |
Authorized person
| Name | DR. JAKE RICHARD HAGER |
| Role | PHYSICIAN |
| Phone | 7013512566 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FARR LAW FIRM | Agent | 99 NESBIT STREET, PUNTA GORDA, FL 33950 |
| Name | Role | Address |
|---|---|---|
| HAGER, JAKE R, MD | Manager | 2484 CARING WAY, PORT CHARLOTTE, FL 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-01-15 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
