| Entity Name: | REBECCA FARINAS, M.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jun 2012 (13 years ago) |
| Document Number: | L12000076747 |
| FEI/EIN Number | 45-5104913 |
| Address: | 7545 Centurion Parkway, Suite 302, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 7545 Centurion Parkway, Suite 302, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942650593 | 2016-06-14 | 2016-06-14 | 7545 CENTURION PKWY, #302, JACKSONVILLE, FL, 322560579, US | 7545 CENTURION PKWY, #302, JACKSONVILLE, FL, 322560579, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-997-7776 |
Authorized person
| Name | REBECCA FARINAS |
| Role | PHYSICIAN/OWNER |
| Phone | 9049977776 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME96794 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA BEHAVIORAL HEALTH, INC. |
| Number | 2479333 |
| Issuer | BEACON HEALTH OPTIONS (FORMERLY VALUE OPTIONS, INC.) |
| Number | 600380 |
| State | FL |
| Issuer | TRICARE SOUTH BEHAVIORAL NETWORK |
| Number | 19352 |
| State | FL |
| Issuer | AETNA |
| Number | 60054 |
| Name | Role | Address |
|---|---|---|
| Root Richard CPA | Agent | 7545 Centurion Pkwy, Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| FARINAS REBECCA | Managing Member | 7545 Centurion Parkway, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-01-16 | Root, Richard, CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 7545 Centurion Pkwy, Suite 301, Jacksonville, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-09 | 7545 Centurion Parkway, Suite 302, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-09 | 7545 Centurion Parkway, Suite 302, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
