| Entity Name: | PONTE VEDRA PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PONTE VEDRA PSYCHIATRY 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. |
| 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: | 09 Jan 2023 (2 years ago) |
| Document Number: | L23000020109 |
| FEI/EIN Number |
92-1858666
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 230 Canal Blvd Suite 2, PONTE VEDRA, FL, 32082, US |
| Mail Address: | 230 Canal Blvd Suite 2, PONTE VEDRA, FL, 32082, US |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366158883 | 2023-01-27 | 2023-01-27 | 230 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL, 320823745, US | 230 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL, 320823745, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 904-280-6701 |
| Fax | 9042806702 |
Authorized person
| Name | DR. JUSTIN SPOONER |
| Role | PRESIDENT |
| Phone | 9042806701 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPOONER JUSTIN K | Manager | 230 Canal Blvd Suite 2, Ponte Vedra Beach, FL, 32082 |
| SPOONER JUSTIN K | Agent | 230 Canal Blvd Suite 2, Ponte Vedra Beach, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-12 | 230 Canal Blvd Suite 2, Ponte Vedra Beach, FL 32082 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-17 | 230 Canal Blvd Suite 2, PONTE VEDRA, FL 32082 | - |
| CHANGE OF MAILING ADDRESS | 2023-02-17 | 230 Canal Blvd Suite 2, PONTE VEDRA, FL 32082 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| Florida Limited Liability | 2023-01-09 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
