Entity Name: | JAYMED, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Mar 1990 (35 years ago) |
Document Number: | L60176 |
FEI/EIN Number | 650181736 |
Address: | C/O CRAIG RUBIN, 5846 S. Flamingo Road, COOPER CITY, FL, 33330, US |
Mail Address: | C/O CRAIG RUBIN, 5846 S. Flamingo Road, COOPER CITY, FL, 33330, US |
ZIP code: | 33330 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326026170 | 2006-01-03 | 2015-11-06 | 5846 SOUTH FLAMINGO RD #163, COOPER CITY, FL, 33330, US | 5846 SOUTH FLAMINGO RD #163, COOPER CITY, FL, 33330, US | |||||||||||||||||||||||
|
Phone | +1 954-889-0001 |
Fax | 9548890003 |
Phone | +1 954-448-2350 |
Authorized person
Name | MR. CRAIG RUBIN |
Role | CEO |
Phone | 9544482350 |
Taxonomy
Taxonomy Code | 293D00000X - Physiological Laboratory |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD FL |
Number | V1003 |
State | FL |
Name | Role | Address |
---|---|---|
Weissman Lee M | Agent | 8181 W. Broward Blvd, Plantation, FL, 33324 |
Name | Role | Address |
---|---|---|
Rubin Craig | Manager | 5846 South Flamingo Rd, Cooper City, FL, 33330 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
REINSTATEMENT | 2016-01-15 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
AMENDMENT | 2012-06-13 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State