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BEACH MEDICAL SPECIALISTS, LLC

Company Details

Entity Name: BEACH MEDICAL SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Feb 2006 (19 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 02 Apr 2009 (16 years ago)
Document Number: L06000020176
FEI/EIN Number 204364668
Address: 2033 S. PATRICK DRIVE, SUITE B, INDIAN HARBOUR BEACH, FL, 32937
Mail Address: 2033 S. PATRICK DRIVE, SUITE B, INDIAN HARBOUR BEACH, FL, 32937
ZIP code: 32937
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124467881 2013-06-17 2014-02-19 2033 S PATRICK DR, SUITE B, INDIAN HARBOUR BEACH, FL, 329374418, US 2033 S PATRICK DR, SUITE B, INDIAN HARBOUR BEACH, FL, 329374418, US

Contacts

Phone +1 321-773-9898
Fax 3217733354

Authorized person

Name KELLY G WALKER
Role PRESIDENT
Phone 3217739898

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
Beirne Kelly W Agent 2033 S. PATRICK DRIVE, INDIAN HARBOUR BEACH, FL, 32937

Managing Member

Name Role Address
Beirne KELLY W Managing Member 2033 S. PATRICK DRIVE, INDIAN HARBOUR BEACH, FL, 32937

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-01-22 Beirne, Kelly W No data
REGISTERED AGENT ADDRESS CHANGED 2013-01-22 2033 S. PATRICK DRIVE, Suite B, INDIAN HARBOUR BEACH, FL 32937 No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-11 2033 S. PATRICK DRIVE, SUITE B, INDIAN HARBOUR BEACH, FL 32937 No data
CHANGE OF MAILING ADDRESS 2012-01-11 2033 S. PATRICK DRIVE, SUITE B, INDIAN HARBOUR BEACH, FL 32937 No data
CANCEL ADM DISS/REV 2009-04-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State