| Entity Name: | BETH A. MEDINA, MS, LMHC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BETH A. MEDINA, MS, LMHC, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 07 Jan 2008 (17 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 22 Dec 2017 (7 years ago) |
| Document Number: | P08000008648 |
| FEI/EIN Number |
900342843
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12724 Gran Bay Parkway, Suite 410, JACKSONVILLE, FL, 32258, US |
| Mail Address: | 12724 Gran Bay Parkway, Suite 410, JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033520481 | 2014-05-19 | 2019-04-16 | 13241 BARTRAM PARK BLVD, STE. 301, JACKSONVILLE, FL, 322585212, US | 13241 BARTRAM PARK BLVD, STE. 301, JACKSONVILLE, FL, 322585212, US | |||||||||||||||||||
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| Phone | +1 904-268-1696 |
| Fax | 8448643674 |
Authorized person
| Name | MS. BETH ANN MEDINA |
| Role | OWNER |
| Phone | 9042681696 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH6748 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEDINA BETH A | Manager | 12724 Gran Bay Parkway, JACKSONVILLE, FL, 32258 |
| MEDINA BETH A | Agent | 12724 Gran Bay Parkway, JACKSONVILLE, FL, 32258 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000166441 | BETH A. WOMBOUGH | EXPIRED | 2009-10-19 | 2014-12-31 | - | 10175 FORTUNE PARKWAY, #504, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-06 | 12724 Gran Bay Parkway, Suite 410, JACKSONVILLE, JACKSONVILLE, FL 32258 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-06 | 12724 Gran Bay Parkway, Suite 410, JACKSONVILLE, JACKSONVILLE, FL 32258 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-06 | 12724 Gran Bay Parkway, Suite 410, JACKSONVILLE, JACKSONVILLE, FL 32258 | - |
| NAME CHANGE AMENDMENT | 2017-12-22 | BETH A. MEDINA, MS, LMHC, PA | - |
| REGISTERED AGENT NAME CHANGED | 2012-01-06 | MEDINA, BETH A | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-16 |
| ANNUAL REPORT | 2018-01-13 |
| Name Change | 2017-12-22 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
