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JK MEDICAL STAFFING LLC

Company Details

Entity Name: JK MEDICAL STAFFING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Oct 2023 (a year ago)
Document Number: L23000460627
FEI/EIN Number 93-3764840
Mail Address: 1031 IVES DAIRY ROAD, STE 228, MIAMI, FL, 33179
Address: 1031 IVES DAIRY ROAD, STE 228, MIAMI, FL, 33023, US
ZIP code: 33023
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669245353 2023-11-03 2024-08-26 1031 IVES DAIRY RD STE 228, MIAMI, FL, 331792538, US 1031 IVES DAIRY RD STE 228, MIAMI, FL, 331792538, US

Contacts

Phone +1 954-708-4861
Fax 9542396111

Authorized person

Name KARDELL G MUSGROVE
Role ADMINISTRATOR
Phone 9547084861

Taxonomy

Taxonomy Code 163W00000X - Registered Nurse
Is Primary Yes
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary No

Agent

Name Role Address
MUSGROVE KARDELL Agent 1031 IVES DAIRY ROAD, MIAMI, FL, 33179

Manager

Name Role Address
MUSGROVE KARDELL Manager 1031 IVES DAIRY ROAD STE 228, MIAMI, FL, 33179

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-26 1031 IVES DAIRY ROAD, STE 228, MIAMI, FL 33023 No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
Florida Limited Liability 2023-10-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State