| Entity Name: | ROSEBERRY INTEGRATIVE CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jul 2024 (7 months ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 20 Aug 2024 (6 months ago) |
| Document Number: | L24000303921 |
| FEI/EIN Number | 994077590 |
| Mail Address: | 4210 VALLEY RIDGE BLVD, PONTE VEDRA BEACH, FL, 32081, US |
| Address: | 4201 Valley ridge Blvd Suite 140, ponte vedra, FL, 32081, US |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992523344 | 2024-10-02 | 2024-10-23 | 4210 VALLEY RIDGE BLVD STE 140, PONTE VEDRA BEACH, FL, 320815184, US | 4210 VALLEY RIDGE BLVD STE 140, PONTE VEDRA BEACH, FL, 320815184, US | |||||||||||||||
|
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| Phone | +1 901-800-5701 |
| Fax | 9048390310 |
Authorized person
| Name | DR. BEVERLY J ROSEBERRY |
| Role | OWNER |
| Phone | 8023456261 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSEBERRY BEVERLY | Agent | 265 TWIN FLOWER PL, ST JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| ROSEBERRY BEVERLY | Authorized Member | 265 TWIN FLOWER PL, ST JOHNS, FL, 32259 |
| ROSEBERRY PAUL | Authorized Member | 265 TWIN FLOWER PL, ST JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-11 | 4201 Valley ridge Blvd Suite 140, ponte vedra, FL 32081 | No data |
| LC NAME CHANGE | 2024-08-20 | ROSEBERRY INTEGRATIVE CARE LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-20 | 4210 VALLEY RIDGE BLVD, STE 140, PONTE VEDRA BEACH, FL 32081 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-20 | 4210 VALLEY RIDGE BLVD, STE 140, PONTE VEDRA BEACH, FL 32081 | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-08-20 |
| Florida Limited Liability | 2024-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
