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ISLAND COVE BEHAVIORAL PEDIATRICS, LLC - Florida Company Profile

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Company Details

Entity Name: ISLAND COVE BEHAVIORAL PEDIATRICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Apr 2022 (3 years ago)
Document Number: L22000192008
FEI/EIN Number 88-1912582
Address: 1831 Golden Eagle Way, Suites 35, FLEMING ISLAND, FL, 32003, US
Mail Address: 1831 Golden Eagle Way, Suites 35, FLEMING ISLAND, FL, 32003, US
ZIP code: 32003
City: Fleming Island
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOHLER RACHAEL E Manager 2267 TRAILWOOD DRIVE, FLEMING ISLAND, FL, 32003
MOHLER RACHAEL E Agent 2267 TRAILWOOD DRIVE, FLEMING ISLAND, FL, 32003

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
904-212-5022
Contact Person:
RACHAEL MOHLER
Ownership and Self-Certifications:
Women-Owned Small Business, Woman Owned
User ID:
P3345083

Unique Entity ID

Unique Entity ID:
DJXZUP7NBJ29
CAGE Code:
09V40
UEI Expiration Date:
2025-11-19

Business Information

Activation Date:
2024-11-21
Initial Registration Date:
2024-09-18

Commercial and government entity program

CAGE number:
09V40
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-21
CAGE Expiration:
2029-11-21
SAM Expiration:
2025-11-19

Contact Information

POC:
RACHAEL MOHLER

National Provider Identifier

NPI Number:
1184356966
Certification Date:
2022-06-29

Authorized Person:

Name:
RACHAEL MOHLER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-02 1831 Golden Eagle Way, Suites 35, FLEMING ISLAND, FL 32003 -
CHANGE OF MAILING ADDRESS 2025-01-02 1831 Golden Eagle Way, Suites 35, FLEMING ISLAND, FL 32003 -

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-04-02
Florida Limited Liability 2022-04-21

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Date of last update: 03 Aug 2025

Sources: Florida Department of State