| Entity Name: | B-LEEVE PRIMARY CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Jan 2024 (a year ago) |
| Document Number: | P24000004750 |
| Address: | 9570 REGENCY SQUARE BLVD STE 403D, JACKSONVILLE, FL 32225 |
| Mail Address: | 9570 REGENCY SQUARE BLVD STE 403D, JACKSONVILLE, FL 32225 |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033971064 | 2024-01-25 | 2024-01-25 | 9570 REGENCY SQUARE BLVD STE 403, JACKSONVILLE, FL, 322259103, US | 9570 REGENCY SQUARE BLVD STE 403, JACKSONVILLE, FL, 322259103, US | |||||||||||||
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| Phone | +1 904-474-9766 |
Authorized person
| Name | QUAWENDELLA BAEJUHNE SKINNER |
| Role | CEO |
| Phone | 9042391343 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HALL, SCOTT | Agent | 9570 REGENCY SQUARE BLVD STE 403D, JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| SKINNER, QUAWENDELL | President | 9570 REGENCY SQUARE BLVD STE 403D, JACKSONVILLE, FL 32225 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-22 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
