| Entity Name: | DR. JOONIES EXAMINAVAN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 May 2021 (4 years ago) |
| Document Number: | L21000250343 |
| FEI/EIN Number | 87-0958384 |
| Address: | 400 NORTH ASHLEY DRIVE, TAMPA, FL, 33602, US |
| Mail Address: | 10615 Boyette Creek Blvd, Riverview, FL, 33569, US |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578135489 | 2021-07-12 | 2021-07-12 | 400 N ASHLEY DR STE 1900, TAMPA, FL, 336024311, US | 400 N ASHLEY DR STE 1900, TAMPA, FL, 336024311, US | |||||||||||||||||||
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| Phone | +1 813-551-3399 |
Authorized person
| Name | JUNE SHANTELLE BRYANT |
| Role | OWNER/PEDIATRIC NURSE PRACTITIONER |
| Phone | 8135513399 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100212600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRYANT JUNE S | Agent | 400 NORTH ASHLEY DRIVE, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| BRYANT JUNE S | Chief Executive Officer | 400 NORTH ASHLEY DRIVE, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-06 | 400 NORTH ASHLEY DRIVE, Suite 1900, TAMPA, FL 33602 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-30 | 400 NORTH ASHLEY DRIVE, SUITE 1900, TAMPA, FL 33602 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-06 |
| Florida Limited Liability | 2021-05-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
