| Entity Name: | GREGORY DEVON MILLER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 May 2019 (6 years ago) |
| Document Number: | L19000134128 |
| FEI/EIN Number | 84-2004525 |
| Address: | 1306 Autumn Trace, Fernandina Beach, FL 32034 |
| Mail Address: | 4856 First Coast Hwy, Fernandina Beach, FL 32034, United States, suite 1, Fernandina Beach, FL 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902436975 | 2020-01-18 | 2023-03-27 | 4856 FIRST COAST HWY STE 1, FERNANDINA BEACH, FL, 320345495, US | 4856 FIRST COAST HWY STE 1, FERNANDINA BEACH, FL, 320345495, US | |||||||||||||||
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| Phone | +1 904-229-5038 |
| Fax | 9045925343 |
Authorized person
| Name | DR. GREGORY DEVON MILLER |
| Role | OWNER |
| Phone | 9042295038 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER, GREGORY DEVON | Agent | 1306 AUTUM TRACE, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| MILLER, GREGORY DEVON | Manager | 1306 AUTUM TRACE, FERNANDINA BEACH, FL 32034 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000069890 | SEACOAST HEALTH | ACTIVE | 2019-06-21 | 2029-12-31 | No data | PO BOX 15743, FERNANDINA BEACH, FL, 32035 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-29 | 1306 Autumn Trace, Fernandina Beach, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-13 | 1306 Autumn Trace, Fernandina Beach, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-04-26 |
| Florida Limited Liability | 2019-05-01 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
