| Entity Name: | BEACH MEDICAL X2 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Nov 2023 (a year ago) |
| Document Number: | L23000521164 |
| FEI/EIN Number | 93-4643768 |
| Address: | 17410 E HWY 50, SUITE 120, ORLANDO, FL, 34711, UN |
| Mail Address: | 17410 E HWY 50, SUITE 120, ORLANDO, FL, 34711, UN |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831965631 | 2023-12-01 | 2023-12-26 | 17410 E HWY 50, SUITE 120, ORLANDO, FL, 34711, US | 17410 E HWY 50, SUITE 120, ORLANDO, FL, 34711, US | |||||||||||||
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| Phone | +1 407-434-6652 |
Authorized person
| Name | RYAN NAUGHTIN |
| Role | MGR |
| Phone | 4074076652 |
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 | 19689 QUARTERLY PKWY, ORLANDO, FL, 32833 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-11-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
