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BEACHSIDE PRIMARY CARE LLC - Florida Company Profile

Company Details

Entity Name: BEACHSIDE PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BEACHSIDE PRIMARY CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Aug 2022 (3 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 02 Nov 2022 (3 years ago)
Document Number: L22000375952
FEI/EIN Number 883899090

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1825 3rd St N, Jacksonville Beach, FL, 32250, US
Mail Address: 1825 3rd St N, Jacksonville Beach, FL, 32250, US
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386364032 2022-09-01 2022-12-16 1825 3RD ST N STE B, JACKSONVILLE BEACH, FL, 322504840, US 1825 3RD ST N STE B, JACKSONVILLE BEACH, FL, 322504840, US

Contacts

Phone +1 904-595-5826
Fax 9045955827

Authorized person

Name DR. DEBORAH GHANDOUR
Role PRESIDENT
Phone 9045955826

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
GHANDOUR DEBORAH L Authorized Person 1825 3RD ST N, SUITE B, JACKSONVILLE BEACH, FL, 32250
GHANDOUR DEBORAH L Agent 1825 3RD ST N, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-13 1825 3rd St N, Suite B, Jacksonville Beach, FL 32250 -
CHANGE OF MAILING ADDRESS 2023-01-13 1825 3rd St N, Suite B, Jacksonville Beach, FL 32250 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-13 1825 3RD ST N, SUITE B, JACKSONVILLE BEACH, FL 32250 -
LC STMNT OF RA/RO CHG 2022-11-02 - -
LC STMNT OF RA/RO CHG 2022-09-06 - -

Documents

Name Date
ANNUAL REPORT 2025-01-05
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-13
CORLCRACHG 2022-11-02
CORLCRACHG 2022-09-06
Florida Limited Liability 2022-08-26

Date of last update: 01 May 2025

Sources: Florida Department of State