| Entity Name: | RUBY BEACH BEHAVIORAL PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Aug 2021 (4 years ago) |
| Document Number: | L21000354672 |
| FEI/EIN Number | 87-2305640 |
| Address: | 12086 Fort Caroline Road, Jacksonville, FL, 32225, US |
| Mail Address: | 690 Trowbridge Drive, Jacksonville, FL, 32225, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407527385 | 2021-09-21 | 2021-09-21 | 12086 FORT CAROLINE RD STE 102, JACKSONVILLE, FL, 322252688, US | 12086 FORT CAROLINE RD STE 102, JACKSONVILLE, FL, 322252688, US | |||||||||||||||
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| Phone | +1 904-415-1609 |
| Fax | 9044858298 |
Authorized person
| Name | MS. MEGAN T ALEXANDER |
| Role | CO-OWNER |
| Phone | 9044151609 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUBY BEACH BEHAVIORAL PEDIATRICS LLC 401K | 2023 | 872305640 | 2024-08-16 | RUBY BEACH BEHAVIORAL PEDIATRICS | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-16 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ALEXANDER MEGAN T | Agent | 690 TROWBRIDGE DRIVE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| MULKEARNS MATTHEW | Chief Executive Officer | 12086 Fort Caroline Road, Jacksonville, FL, 32225 |
| ALEXANDER MEGAN T | Chief Executive Officer | 12086 Fort Caroline Road, Jacksonville, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| MULKEARNS CHASE E | Auth | 12086 Fort Caroline Road, Jacksonville, FL, 32225 |
| Grace Timothy | Auth | 12086 Fort Caroline Road, Jacksonville, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 12086 Fort Caroline Road, Unit 102, Jacksonville, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-10 | 12086 Fort Caroline Road, Unit 102, Jacksonville, FL 32225 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-23 |
| Florida Limited Liability | 2021-08-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
