| Entity Name: | A1 MEDICAL & BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2018 (6 years ago) |
| Document Number: | L16000226101 |
| FEI/EIN Number | 81-4733423 |
| Address: | 3510 1st Avenue N, St. Petersburg, 33713, UN |
| Mail Address: | 2822 54TH AVENUE SOUTH #215, ST PETERSBURG, FL, 33712, UN |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689119174 | 2016-12-20 | 2017-01-09 | 2822 54TH AVE S # 215, SUITE 215, ST PETERSBURG, FL, 337124610, US | 2822 54TH AVE S # 215, SUITE 215, ST PETERSBURG, FL, 337124610, US | |||||||||||||||||||||
|
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| Phone | +1 727-218-8961 |
Authorized person
| Name | MS. ANGELA DENISE HARVEY |
| Role | ARNP |
| Phone | 7272188961 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Harvey Angela D | Agent | 2822 54TH AVENUE SOUTH #215, ST PETERSBURG, FL, 33712 |
| Name | Role | Address |
|---|---|---|
| HARVEY ANGELA D | Owner | 2822 54TH AVENUE SOUTH #215, ST PETERSBURG, 33712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-03 | 3510 1st Avenue N, 125, St. Petersburg 33713 UN | No data |
| REINSTATEMENT | 2018-10-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-01 | Harvey, Angela Denise | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-28 |
| REINSTATEMENT | 2018-10-01 |
| ANNUAL REPORT | 2017-03-16 |
| Florida Limited Liability | 2016-12-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
