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BEACHSIDE MEDICAL GROUP LLC - Florida Company Profile

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Company Details

Entity Name: BEACHSIDE MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BEACHSIDE MEDICAL GROUP LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 14 Mar 2025 (4 months ago)
Document Number: L25000125752
Address: 4514 SEHOY CIR, NULL, PENSACOLA, FL, 32504--905, UN
Mail Address: 4514 SEHOY CIR, NULL, PENSACOLA, FL, 32504--905, UN
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HAVINGA JACLYN H Agent 4514 SEHOY CIR, PENSACOLA, FL, 32504-905
HAVINGA JACLYN H Authorized Member 4514 SEHOY CIR, PENSACOLA, FL, 32504-905
AMJAD RAMAK R Authorized Member 1315 PANFERIO DRIVE, PENSACOLA BEACH, FL, 32561

National Provider Identifier

NPI Number:
1568250512
Certification Date:
2025-04-29

Authorized Person:

Name:
EVIE DUCKWORTH
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8504730500

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Date of last update: 01 Jul 2025

Sources: Florida Department of State