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
BLOUNTSTOWN, FL 32424
Mailing Address
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Registered Agent Name & Address
JEPSEN, CHRISTINIA
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Authorized Person(s) Detail
Name & Address
Title MGR
BONTRAGER, LABON
Title MGR
FAUROT, MELBA
Title MGR
PLUMMER, MARK
Title MGR
DERZYPOLSKI, STEPHANIE
Title MGR
O'BRYANT, MARK
Title MGR
SMITH, RYAN
Title Authorized Representative
Jepsen, Christinia
Title CFO
Miller, James C
Title CNO
Dieppa-Corbin, Yarah
Title CAO
Brown, Emily
Title MGR
BONTRAGER, LABON
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title MGR
FAUROT, MELBA
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title MGR
PLUMMER, MARK
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title MGR
DERZYPOLSKI, STEPHANIE
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title MGR
O'BRYANT, MARK
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title MGR
SMITH, RYAN
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title Authorized Representative
Jepsen, Christinia
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title CFO
Miller, James C
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title CNO
Dieppa-Corbin, Yarah
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Title CAO
Brown, Emily
20370 NE BURNS AVENUE
BLOUNTSTOWN, FL 32424
BLOUNTSTOWN, FL 32424
Annual Reports
Report Year | Filed Date |
2023 | 03/16/2023 |
2024 | 03/08/2024 |
Document Images