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NORTH FLORIDA LEARNING & BEHAVIORAL HEALTH, LLC

Company Details

Entity Name: NORTH FLORIDA LEARNING & BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Apr 2017 (8 years ago)
Document Number: L17000074139
FEI/EIN Number 82-1079333
Address: 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256, US
Mail Address: 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598295701 2017-06-20 2022-07-21 8825 PERIMETER PARK BLVD STE 302, JACKSONVILLE, FL, 322161112, US 8825 PERIMETER PARK BLVD STE 302, JACKSONVILLE, FL, 322161112, US

Contacts

Phone +1 904-250-0088
Fax 8662984143

Authorized person

Name DR. SHARON RENEE WINNER
Role PSYCHOLOGIST, DIRECTOR
Phone 9042500088

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number PY8075
State FL
Is Primary Yes

Agent

Name Role Address
WINNER SHARON RPSY.D. Agent 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256

Director

Name Role Address
Winner Sharon RPsy.D. Director 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-26 10175 Fortune Pkwy, Unit 902, JACKSONVILLE, FL 32256 No data
CHANGE OF MAILING ADDRESS 2024-03-26 10175 Fortune Pkwy, Unit 902, JACKSONVILLE, FL 32256 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-26 10175 Fortune Pkwy, Unit 902, JACKSONVILLE, FL 32256 No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-03-20
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-03-05
Florida Limited Liability 2017-04-03

Date of last update: 03 Feb 2025

Sources: Florida Department of State