| Entity Name: | BEACH MEDICAL X3 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Dec 2023 (a year ago) |
| Document Number: | L24000000809 |
| Address: | 483 N SEMORAN BLVD, STE 106, WINTER PARK, FL 32792 |
| Mail Address: | 483 N SEMORAN BLVD, STE 106, WINTER PARK, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265201727 | 2023-12-26 | 2023-12-26 | 483 N SEMORAN BLVD STE 106, WINTER PARK, FL, 327923800, US | 483 N SEMORAN BLVD STE 106, WINTER PARK, FL, 327923800, US | |||||||||||||
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| Phone | +1 407-630-7330 |
Authorized person
| Name | RYAN NAUGHTIN |
| Role | MANAGER |
| Phone | 8134668704 |
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 UN |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-12-22 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
