| Entity Name: | BEACH LIFE ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Mar 2021 (4 years ago) |
| Document Number: | L21000132697 |
| FEI/EIN Number | 86-2266270 |
| Address: | 1182 25th Way N, SAINT PETERSBURG, FL, 33713, US |
| Mail Address: | 1182 25th Way N, SAINT PETERSBURG, FL, 33713, US |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003505470 | 2023-05-02 | 2023-05-02 | 6449 38TH AVE N STE H4, ST PETERSBURG, FL, 337101643, US | 6449 38TH AVE N STE H4, ST PETERSBURG, FL, 337101643, US | |||||||||||||||
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| Phone | +1 727-317-2911 |
| Fax | 7272560417 |
Authorized person
| Name | CHRISTIE ELSEA |
| Role | OWNER/CEO |
| Phone | 4233689518 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELSEA CHRISTIE | Agent | 1182 25th Way N, SAINT PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| ELSEA CHRISTIE | Owne | 1182 25th Way N, SAINT PETERSBURG, FL, 33713 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000003996 | REDEMPTION WELLNESS CLINIC | ACTIVE | 2023-01-09 | 2028-12-31 | No data | 1182 25TH WAY N, ST. PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-08 | 1182 25th Way N, SAINT PETERSBURG, FL 33713 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-12 | 1182 25th Way N, SAINT PETERSBURG, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-12 | 1182 25th Way N, SAINT PETERSBURG, FL 33713 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-03-10 |
| Florida Limited Liability | 2021-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
