Detail by Officer/Registered Agent Name

Florida Limited Liability Company

BIG BEND HEALTH ALLIANCE, LLC

Filing Information
L22000280579 93-2938056 06/20/2022 FL ACTIVE LC AMENDMENT 03/21/2024 NONE
Principal Address
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
Mailing Address
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
Registered Agent Name & Address JEPSEN, CHRISTINIA
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
Authorized Person(s) Detail Name & Address

Title MGR

BONTRAGER, LABON
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title MGR

FAUROT, MELBA
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title MGR

PLUMMER, MARK
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title MGR

DERZYPOLSKI, STEPHANIE
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title MGR

O'BRYANT, MARK
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title MGR

SMITH, RYAN
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title Authorized Representative

Jepsen, Christinia
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title CFO

Miller, James C
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title CNO

Dieppa-Corbin, Yarah
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Title CAO

Brown, Emily
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424

Annual Reports
Report YearFiled Date
2023 03/16/2023
2024 03/08/2024