| Entity Name: | P. B. SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2001 (24 years ago) |
| Document Number: | P01000048612 |
| FEI/EIN Number | 593724911 |
| Address: | 5618 TIMUQUANA RD, JACKSONVILLE, FL, 32210, US |
| Mail Address: | 7210 OVERLAND PK BLVD EAST, JACKSONVILLE, FL, 32244 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1053617514 | 2011-02-01 | 2011-02-01 | 5562 TIMUQUANA RD STE 2, JACKSONVILLE, FL, 322108053, US | 5562 TIMUQUANA RD STE 2, JACKSONVILLE, FL, 322108053, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-779-8918 |
| Fax | 9043179926 |
| Fax | 9043719926 |
Authorized person
| Name | MR. LEONARD D BREWER |
| Role | DIRECT / OWNER |
| Phone | 9407798918 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 681937196 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 681937102 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 673923798 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 673923768 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 681937102 |
| State | FL |
| Issuer | MEDICAID |
| Number | 673923768 |
| State | FL |
| Issuer | MEDICAID |
| Number | 681937196 |
| State | FL |
| Issuer | MEDICAID |
| Number | 673923798 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BREWER LEONARD D | Agent | 7210 OVERLAND PK BLVD EAST, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| BREWER LEONARD D | President | 5618 TIMUQUANA RD, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-20 | 5618 TIMUQUANA RD, Suite 3, JACKSONVILLE, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
