| Entity Name: | JESSICA HARRELL MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L21000196790 |
| FEI/EIN Number | 86-3744626 |
| Address: | 801 W Bay Dr St 232, LARGO, FL, 33770, US |
| Mail Address: | 801 W Bay Dr St 232, LARGO, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992389126 | 2021-05-12 | 2021-05-12 | 13787 BELCHER RD S STE 100, LARGO, FL, 337714065, US | 13787 BELCHER RD S STE 100, LARGO, FL, 337714065, US | |||||||||||||
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| Phone | +1 727-535-9899 |
Authorized person
| Name | JESSICA HARRELL |
| Role | OWNER |
| Phone | 4073765553 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRELL JESSICA R | Agent | 801 West Bay Drive, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| Harrell Jessica | Owne | 801 West Bay Drive, LARGO, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-07 | 801 W Bay Dr St 232, LARGO, FL 33770 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-07 | 801 W Bay Dr St 232, LARGO, FL 33770 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-17 | 801 West Bay Drive, SUITE 321, LARGO, FL 33770 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-17 | 801 West Bay Drive, SUITE 321, LARGO, FL 33770 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-17 | 801 West Bay Drive, SUITE 321, LARGO, FL 33770 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-05-24 |
| Florida Limited Liability | 2021-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
