| Entity Name: | J.A.G REDEFINED HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 May 2021 (4 years ago) |
| Document Number: | L21000015728 |
| FEI/EIN Number | 87-4310604 |
| Address: | 840 111th Ave N, Naples, FL, 34108, US |
| Mail Address: | 2117 18TH AVE NE, NAPLES, FL, 34120, US |
| ZIP code: | 34108 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639805823 | 2022-07-28 | 2022-08-08 | 840 111TH AVE N STE 10, NAPLES, FL, 341081868, US | 840 111TH AVE N STE 10, NAPLES, FL, 341081868, US | |||||||||||||||
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| Phone | +1 239-913-7242 |
| Fax | 2394434747 |
Authorized person
| Name | LISA MARIE GONZALEZ |
| Role | PROVIDER |
| Phone | 2399137242 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ LISA M | Agent | 2117 18TH AVE NE, NAPLES, FL, 34120 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ CESAR G | Manager | 2117 18TH AVE NE, NAPLES, FL, 34120 |
| GONZALEZ LISA M | Manager | 2117 18TH AVE NE, NAPLES, FL, 34120 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000060432 | SOLEIL HEALTH AND WELLNESS | ACTIVE | 2022-05-13 | 2027-12-31 | No data | 2117 18TH AVE NE, NAPLES, FL, 34120 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-13 | 840 111th Ave N, 10, Naples, FL 34108 | No data |
| LC AMENDMENT | 2021-05-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-17 |
| LC Amendment | 2021-05-27 |
| Florida Limited Liability | 2021-01-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
