| Entity Name: | B. BEARDSLEY, ARNP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
B. BEARDSLEY, ARNP, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Dec 2016 (8 years ago) |
| Document Number: | L16000232403 |
| FEI/EIN Number |
81-4821740
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12058 San Jose Blvd, Ste 1003, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 5623 ORTEGA FARMS BLVD, JACKSONVILLE, FL, 32244, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659953586 | 2021-04-21 | 2021-04-21 | 12058 SAN JOSE BLVD STE 1003, JACKSONVILLE, FL, 322238667, US | 12058 SAN JOSE BLVD STE 1003, JACKSONVILLE, FL, 322238667, US | |||||||||||||||
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| Phone | +1 904-321-9875 |
| Fax | 9043219890 |
Authorized person
| Name | MR. BRUCE BRIAN BEARDSLEY |
| Role | OWNER |
| Phone | 9043219875 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEARDSLEY BRUCE BJR | Authorized Member | 5623 ORTEGA FARMS BLVD, JACKSONVILLE, FL, 32244 |
| Beardsley Amy C | Manager | 5623 ORTEGA FARMS BLVD, JACKSONVILLE, FL, 32244 |
| BEARDSLEY BRUCE BJR | Agent | 5623 ORTEGA FARMS BLVD, JACKSONVILLE, FL, 32244 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000135155 | INTROSPECT MENTAL HEALTH | ACTIVE | 2020-10-19 | 2025-12-31 | - | 5623 ORTEGA FARMS BLVD, JACKSONVILLE, FL, 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-14 | 12058 San Jose Blvd, Ste 1003, JACKSONVILLE, FL 32223 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-04-14 |
| AMENDED ANNUAL REPORT | 2020-10-19 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-06-15 |
| ANNUAL REPORT | 2018-04-21 |
| Florida Limited Liability | 2016-12-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2124368310 | 2021-01-20 | 0491 | PPP | 12058 San Jose Blvd Ste 104, Jacksonville, FL, 32223-1842 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
