| Entity Name: | JR MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Oct 2023 (a year ago) |
| Document Number: | L23000491225 |
| FEI/EIN Number | 93-4191760 |
| Address: | 13162 US-301, RIVERVIEW, FL 33578 |
| Mail Address: | 13162 US-301, RIVERVIEW, FL 33578 |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447029632 | 2023-12-28 | 2023-12-28 | 1121 E LUMSDEN RD, BRANDON, FL, 335116727, US | 13162 US HIGHWAY 301 S, RIVERVIEW, FL, 335787410, US | |||||||||||||
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| Phone | +1 813-850-3004 |
Authorized person
| Name | RAJI KURIAKOSE |
| Role | NP |
| Phone | 8138503004 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PULLAPPALLY, JASMIN | Agent | 13162 US-301, RIVERVIEW, FL 33578 |
| Name | Role | Address |
|---|---|---|
| PULLAPPALLY, JASMIN | Authorized Member | 13162 US-301, RIVERVIEW, FL 33578 |
| KURIAKOSE, RAJI | Authorized Member | 13162 US-301, RIVERVIEW, FL 33578 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000074872 | LATE HOURS URGENT CARE CENTER | ACTIVE | 2024-06-17 | 2029-12-31 | No data | 13162 US HWY 301 S, RIVERVIEW, FL, 33578 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-10-27 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
