| Entity Name: | BEACH MEDICAL X1 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Nov 2023 (a year ago) |
| Document Number: | L23000521087 |
| FEI/EIN Number | 93-4614770 |
| Address: | 401 N MILLS AVE, SUITE A, ORLANDO, FL 32803 UN |
| Mail Address: | 19689 QUARTERLY PKWY, SUITE A, ORLANDO, FL 32833 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346016243 | 2023-11-30 | 2023-12-26 | 401 N MILLS AVE STE A, ORLANDO, FL, 328035735, US | 401 N MILLS AVE STE A, ORLANDO, FL, 328035735, US | |||||||||||||
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| Phone | +1 407-502-0073 |
Authorized person
| Name | RYAN NAUGHTIN |
| Role | MGR |
| Phone | 4075020073 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NAUGHTIN, RYAN | Agent | 19689 QUARTERLY PKWY, ORLANDO, FL 32833 |
| Name | Role | Address |
|---|---|---|
| NAUGHTIN, RYAN | Manager | 401 N MILLS AVE, SUITE A, ORLANDO, FL 32803 UN |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-11-17 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
