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JILLIAN RUSSELL APRN LLC - Florida Company Profile

Company Details

Entity Name: JILLIAN RUSSELL APRN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

JILLIAN RUSSELL APRN LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 11 May 2023 (2 years ago)
Document Number: L23000233210
FEI/EIN Number 92-3953610

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5913 NE 67TH ST, SILVER SPRINGS, FL, 34488
Mail Address: 5913 NE 67TH ST, SILVER SPRINGS, FL, 34488
ZIP code: 34488
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760176341 2023-06-06 2023-06-06 5913 NE 67TH ST, SILVER SPRINGS, FL, 344881137, US 5913 NE 67TH ST, SILVER SPRINGS, FL, 344881137, US

Contacts

Phone +1 407-670-8218

Authorized person

Name MS. JILLIAN RUSSELL
Role PROVIDER
Phone 4076708218

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number Q6X4V
State FL
Issuer MEDICAID
Number 18412200
State FL
Issuer UHC
Number 0010398059

Key Officers & Management

Name Role Address
RUSSELL JILLIAN E Manager 5913 NE 67TH ST, SILVER SPRINGS, FL, 34488
RUSSELL JILLIAN E Agent 5913 NE 67TH ST, SILVER SPRINGS, FL, 34488

Documents

Name Date
ANNUAL REPORT 2024-03-28
Florida Limited Liability 2023-05-11

Date of last update: 01 Mar 2025

Sources: Florida Department of State