| Entity Name: | JASPER HEALTH SERVICES FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jan 2024 (a year ago) |
| Document Number: | L24000013935 |
| Address: | 235 N WESTMONTE DR, 1ST AND 2ND FLOOR, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 235 N WESTMONTE DR, 1ST AND 2ND FLOOR, ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | JASPER HEALTH SERVICES FLORIDA, LLC, MISSISSIPPI | 1462800 | MISSISSIPPI |
| Headquarter of | JASPER HEALTH SERVICES FLORIDA, LLC, IDAHO | 5950026 | IDAHO |
| Headquarter of | JASPER HEALTH SERVICES FLORIDA, LLC, ALASKA | 10289799 | ALASKA |
| Headquarter of | JASPER HEALTH SERVICES FLORIDA, LLC, ALABAMA | 001-160-030 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114788288 | 2024-01-17 | 2024-11-05 | 235 N WESTMONTE DR, 1ST AND 2ND FLOOR, ALTAMONTE SPRINGS, FL, 327143345, US | 235 N WESTMONTE DR, 1ST AND 2ND FLOOR, ALTAMONTE SPRINGS, FL, 327143345, US | |||||||||||||||||||||||
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| Phone | +1 929-552-3904 |
| Fax | 8772540980 |
Authorized person
| Name | GREG ORR |
| Role | COO |
| Phone | 7024195668 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| URS AGENTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JASPER HEALTH, INC. | Manager | 950 W BANNOCK ST STE 1100, BOISE, ID 83702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-30 | 235 N WESTMONTE DR, 1ST AND 2ND FLOOR, ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-30 | 235 N WESTMONTE DR, 1ST AND 2ND FLOOR, ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-21 | URS AGENTS, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-21 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2024-10-21 |
| Florida Limited Liability | 2024-01-05 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
