Search icon

BEACHSIDE ADVANCED PRACTICE NURSING LLC

Company Details

Entity Name: BEACHSIDE ADVANCED PRACTICE NURSING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Jun 2019 (6 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L19000167128
FEI/EIN Number 84-2378791
Address: 10A Venetian Way, INDIAN HARBOUR BEACH, FL, 32937, US
Mail Address: 10 Venetian Way, Unit A, INDIAN HARBOUR BEACH, FL, 32937, US
ZIP code: 32937
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346892726 2019-07-15 2019-07-15 525 ISLAND CT, INDIAN HARBOUR BEACH, FL, 329374385, US 525 ISLAND CT, INDIAN HARBOUR BEACH, FL, 329374385, US

Contacts

Phone +1 321-288-5739

Authorized person

Name CLAUDIA O'BRIEN
Role PRESIDENT
Phone 3212885739

Taxonomy

Taxonomy Code 363LG0600X - Gerontology Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
O'Brien Claudia Agent 10A Venetian Way, INDIAN HARBOUR BEACH, FL, 32937

Authorized Member

Name Role Address
O'BRIEN CLAUDIA Authorized Member 10A Venetian Way, INDIAN HARBOUR BEACH, FL, 32937

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2021-01-31 10A Venetian Way, INDIAN HARBOUR BEACH, FL 32937 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-31 10A Venetian Way, INDIAN HARBOUR BEACH, FL 32937 No data
CHANGE OF PRINCIPAL ADDRESS 2020-11-13 10A Venetian Way, INDIAN HARBOUR BEACH, FL 32937 No data
REGISTERED AGENT NAME CHANGED 2020-06-22 O'Brien, Claudia No data

Documents

Name Date
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-06-22
Florida Limited Liability 2019-06-25

Date of last update: 03 Feb 2025

Sources: Florida Department of State