| Entity Name: | RUBEN PSYCH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Mar 2023 (2 years ago) |
| Document Number: | L23000130867 |
| FEI/EIN Number | 92-2989999 |
| Address: | 5345 ORTEGA BLVD., UNIT 1, JACKSONVILLE, FL, 32210, US |
| Mail Address: | 5345 ORTEGA BLVD., UNIT 1, JACKSONVILLE, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003641770 | 2024-09-03 | 2024-09-03 | 5345 ORTEGA BLVD STE 1, JACKSONVILLE, FL, 322108443, US | 5345 ORTEGA BLVD STE 1, JACKSONVILLE, FL, 322108443, US | |||||||||||||
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| Phone | +1 904-338-8771 |
Authorized person
| Name | DANIELLE L RUBEN |
| Role | APRN |
| Phone | 9047611960 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUBEN DANIELLE | Agent | 5345 ORTEGA BLVD., JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| RUBEN DANIELLE | Manager | 4333 GENOA AVE., JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-01 | 5345 ORTEGA BLVD., UNIT 1, JACKSONVILLE, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| Florida Limited Liability | 2023-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
