| Entity Name: | JANET I. LEWIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Aug 2024 (6 months ago) |
| Document Number: | L24000354348 |
| Address: | 5937 OSAGE TRAIL, MILTON, FL 32570 |
| Mail Address: | 5937 OSAGE TRAIL, MILTON, FL 32570 |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013741354 | 2024-08-29 | 2024-08-29 | PO BOX 6034, PENSACOLA, FL, 325030034, US | 4225 WOODBINE RD STE C, PACE, FL, 325718791, US | |||||||||||||||||||
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| Phone | +1 850-384-3151 |
| Fax | 8509949130 |
Authorized person
| Name | JANET I LEWIS |
| Role | PRESIDENT |
| Phone | 8503843151 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DURST JORDAN, CPA, PA | Agent |
| Name | Role | Address |
|---|---|---|
| LEWIS, JANET | President | 5937 OSAGE TRAIL, MILTON, FL 32570 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-12 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
