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LIFESPAN PSYCHIATRIC CARE, LLC - Florida Company Profile

Company Details

Entity Name: LIFESPAN PSYCHIATRIC CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LIFESPAN PSYCHIATRIC CARE, LLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 25 Jan 2017 (8 years ago)
Document Number: L17000019682
FEI/EIN Number 81-5143559

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 12765 Forest Hill Blvd., Wellington, FL, 33414, US
Mail Address: 12765 Forest Hill Blvd., Wellington, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952828790 2017-08-23 2017-08-23 701 S OLIVE AVE APT 407, WEST PALM BEACH, FL, 334016195, US 4800 LINTON BLVD STE D502A, DELRAY BEACH, FL, 334456593, US

Contacts

Phone +1 561-307-7745
Phone +1 561-808-7205
Fax 5615846804

Authorized person

Name NICHOLAS J JACKSON
Role OWNER
Phone 5613077745

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
License Number 9294269
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
JACKSON NICHOLAS Authorized Representative 701 SOUTH OLIVE AVE, WEST PALM BEACH, FL, 33401
JACKSON NICHOLAS J Agent 701 SOUTH OLIVE AVE, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-07-26 12765 Forest Hill Blvd., Suite 1309, Wellington, FL 33414 -
CHANGE OF MAILING ADDRESS 2022-07-26 12765 Forest Hill Blvd., Suite 1309, Wellington, FL 33414 -
REGISTERED AGENT ADDRESS CHANGED 2022-07-26 701 SOUTH OLIVE AVE, 407, WEST PALM BEACH, FL 33401 -

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-03-03
AMENDED ANNUAL REPORT 2022-07-26
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-05-21
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-07-06
Florida Limited Liability 2017-01-25

Date of last update: 01 Mar 2025

Sources: Florida Department of State