| Entity Name: | BEACHSIDE MEDICAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jun 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L16000123062 |
| FEI/EIN Number | 81-3237343 |
| Address: | 1101 54th Street, West Palm Beach, FL, 33407, US |
| Mail Address: | 1101 54th Street, West Palm Beach, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821541483 | 2016-08-01 | 2021-09-14 | 1101 54TH ST, WEST PALM BEACH, FL, 334072419, US | 1101 54TH ST, WEST PALM BEACH, FL, 334072419, US | |||||||||||||||||||||||||||
|
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| Phone | +1 561-365-3758 |
| Fax | 7724484029 |
Authorized person
| Name | ANNEMARIE SINCAVAGE |
| Role | CFO |
| Phone | 5613653758 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME57053 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 364SF0001X - Family Health Clinical Nurse Specialist |
| License Number | ARNP3333482 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Sincavage AnneMarie | Agent | 1101 54th Street, West Palm Beach, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| HOLMES OLIVIA | Manager | 1101 54th Street, West Palm Beach, FL, 33407 |
| SINCAVAGE ANNEMARIE | Manager | 1101 54th Street, West Palm Beach, FL, 33407 |
| HOLES ROGAN | Manager | 1101 54th Street, West Palm Beach, FL, 33407 |
| WELLINGTON IMELDA | Manager | 1101 54th Street, West Palm Beach, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-27 | 1101 54th Street, West Palm Beach, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-27 | 1101 54th Street, West Palm Beach, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-27 | Sincavage, AnneMarie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-27 | 1101 54th Street, West Palm Beach, FL 33407 | No data |
| LC AMENDMENT | 2020-10-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-27 |
| LC Amendment | 2020-10-27 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-16 |
| Florida Limited Liability | 2016-06-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
