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BLUESTONE PSYCHIATRY, PLLC - Florida Company Profile

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Company Details

Entity Name: BLUESTONE PSYCHIATRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Mar 2020 (5 years ago)
Document Number: L20000088486
FEI/EIN Number 85-0536870
Address: 5664 Bee Ridge Rd., Sarasota, FL, 34233, US
Mail Address: 5664 Bee Ridge Rd., Sarasota, FL, 34233, US
ZIP code: 34233
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOLLEN JORDANA WDR. Manager 5664 Bee Ridge Rd., Sarasota, FL, 34233
GOMEZ-CUETARA FLORENCIO NIV Agent 5664 Bee Ridge Rd., Sarasota, FL, 34233

National Provider Identifier

NPI Number:
1700563053
Certification Date:
2023-07-05

Authorized Person:

Name:
JORDANA HOLLEN
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
850536870
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-05-08 5664 Bee Ridge Rd., Suite 203, Sarasota, FL 34233 -
CHANGE OF MAILING ADDRESS 2021-05-08 5664 Bee Ridge Rd., Suite 203, Sarasota, FL 34233 -
REGISTERED AGENT ADDRESS CHANGED 2021-05-08 5664 Bee Ridge Rd., Suite 203, Sarasota, FL 34233 -

Documents

Name Date
ANNUAL REPORT 2025-01-30
AMENDED ANNUAL REPORT 2024-08-29
ANNUAL REPORT 2024-01-20
ANNUAL REPORT 2023-01-15
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-05-08
Florida Limited Liability 2020-03-24

Trademarks

Serial Number:
97645485
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2022-10-24
Mark Drawing Type:
2 - AN ILLUSTRATION DRAWING WITHOUT ANY WORDS(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
None

Goods And Services

For:
Health care; Health clinic services; Psychiatric consultation; Psychiatric services; Telemedicine services; Behavioral health services; Dialectical behavior therapy (DBT); Mental health services; Mental health therapy services; Provision of health care and medical services by health care professiona...
First Use:
2020-04-25
International Classes:
044 - Primary Class
Class Status:
ACTIVE

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Date of last update: 02 Aug 2025

Sources: Florida Department of State