| Entity Name: | CROWNING MIDWIFERY, BIRTH SERVICES, AND BEYOND, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Nov 2019 (5 years ago) |
| Document Number: | L19000274315 |
| FEI/EIN Number | 84-4602188 |
| Address: | 14050 Integra Dr, Apt 1112, Apt 1112, Jacksonville, FL 32218 |
| Mail Address: | 6501 Arlington Expy, B105 #7003, B105 #7003, Jacksonville, FL 32211 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689431025 | 2024-03-04 | 2024-03-04 | 6501 ARLINGTON EXPY, B105 #7003, JACKSONVILLE, FL, 32211, US | 14050 INTEGRA DR APT 1112, JACKSONVILLE, FL, 322182669, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-510-9654 |
| Fax | 8502047718 |
| Phone | +1 850-296-7608 |
Authorized person
| Name | KIMBERLEY HOMER |
| Role | MIDWIFE/OWNER |
| Phone | 3055109654 |
Taxonomy
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 175M00000X - Lay Midwife |
| Is Primary | No |
| Taxonomy Code | 176B00000X - Midwife |
| Is Primary | Yes |
| Taxonomy Code | 374J00000X - Doula |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HOMER, KIMBERLEY L | Agent | 14050 Integra Dr, Apt 1112, Apt 1112, Jacksonville, FL 32218 |
| Name | Role | Address |
|---|---|---|
| HOMER, KIMBERLEY L | Managing Member | 3210 Tanager Court, APT B Tallahassee, FL 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-15 | 14050 Integra Dr, Apt 1112, Apt 1112, Jacksonville, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-15 | 14050 Integra Dr, Apt 1112, Apt 1112, Jacksonville, FL 32218 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-15 | 14050 Integra Dr, Apt 1112, Apt 1112, Jacksonville, FL 32218 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-25 |
| Florida Limited Liability | 2019-11-04 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
