| Entity Name: | THOMAS A. BECKETT, M.D., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Jun 2014 (11 years ago) |
| Document Number: | L08000019157 |
| FEI/EIN Number | 201200330 |
| Address: | 2338 IMMOKALEE RD, NAPLES, FL, 34110, US |
| Mail Address: | 2338 IMMOKALEE RD, NAPLES, FL, 34110, US |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609269182 | 2015-03-09 | 2023-06-12 | 1865 VETERANS PARK DR, SUITE 201, NAPLES, FL, 341090447, US | 1865 VETERANS PARK DR, SUITE 201, NAPLES, FL, 341090447, US | |||||||||||||||||||||
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| Phone | +1 239-514-3131 |
| Fax | 2395726101 |
Authorized person
| Name | MR. THOMAS A BECKETT |
| Role | OWNER |
| Phone | 2395143131 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 064801900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BECKETT THOMAS AM.D. | Agent | 2338 IMMOKALEE RD, NAPLES, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| BECKETT THOMAS AM.D. | Manager | 2338 IMMOKALEE RD, NAPLES, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| Beckett Colleen M | Chief Operating Officer | 7128 Lemuria Circle, Naples, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 2338 IMMOKALEE RD, #104, NAPLES, FL 34110 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-08 | 2338 IMMOKALEE RD, #104, NAPLES, FL 34110 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-08 | 2338 IMMOKALEE RD, #104, NAPLES, FL 34110 | No data |
| REINSTATEMENT | 2014-06-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CONVERSION | 2008-02-22 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P04000087049. CONVERSION NUMBER 100000072721 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000013477 | TERMINATED | 11-1710-CA | COLLIER COUNTY CIRCUIT COURT | 2011-12-28 | 2017-01-09 | $5666.69 | BANK OF NAPLES, 4099 TAMIAMI TRAIL NORTH, SUITE 100, NAPLES, FLORIDA 34103 |
| J12000013451 | TERMINATED | 11-1710-CA | COLLIER COUNTY CIRCUIT COURT | 2011-11-29 | 2017-01-09 | $139,284.25 | BANK OF NAPLES, 4099 TAMIAMI TRAIL NORTH, SUITE 100, NAPLES, FLORIDA 34103 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-20 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-05-23 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
