| Entity Name: | JAHBLESS PHLEBOTOMY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Jul 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: | L21000318466 |
| Address: | 640 HIGH POINT COURT, MERRITT ISLAND, FL, 32952 |
| Mail Address: | 640 HIGH POINT COURT, MERRITT ISLAND, FL, 32952 |
| ZIP code: | 32952 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679248272 | 2021-08-16 | 2021-08-16 | 640 HIGH POINT CT, MERRITT ISLAND, FL, 329524177, US | 640 HIGH POINT CT, MERRITT ISLAND, FL, 329524177, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-506-6621 |
Authorized person
| Name | LISA LYN DEVINS |
| Role | OWNER |
| Phone | 3215066621 |
Taxonomy
| Taxonomy Code | 246RP1900X - Phlebotomy Technician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1770156788 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEVINS LISA L | Agent | 640 HIGH POINT COURT, MERRITT ISLAND, FL, 32952 |
| Name | Role | Address |
|---|---|---|
| DEVINS LISA L | Manager | 640 HIGH POINT COURT, MERRITT ISLAND, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-07-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
