Detail by Officer/Registered Agent Name

Florida Limited Liability Company

REVELATION FAMILY MEDICINE OFFICE LLC

Filing Information
L18000006308 APPLIED FOR 01/08/2018 01/05/2018 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2023 NONE
Principal Address
3939 HOLLYWOOD BLVD
SUITE 3B
HOLLYWOOD, FL 33021

Changed: 09/24/2018
Mailing Address
3939 HOLLYWOOD BLVD
SUITE 3B
HOLLYWOOD, FL 33021

Changed: 09/24/2018
Registered Agent Name & Address FORTE, JEAN-MARCEL
3453 FILLMORE STREET
HOLLYWOOD, FL 33021

Name Changed: 11/20/2022
Authorized Person(s) Detail Name & Address

Title MGR

FORTE, JEAN-MARCEL
3453 FILLMORE STREET
HOLLYWOOD, FL 33021

Annual Reports
Report YearFiled Date
2020 11/20/2022
2021 11/20/2022
2022 11/20/2022