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BEACON CLINIC, INC.

Company Details

Entity Name: BEACON CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Jun 1999 (26 years ago)
Date of dissolution: 15 Sep 2006 (18 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 15 Sep 2006 (18 years ago)
Document Number: P99000057776
FEI/EIN Number 650930029
Address: 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
Mail Address: 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194803734 2006-11-01 2020-08-22 3821 TAMIAMI TRL # D, PORT CHARLOTTE, FL, 339528377, US 3821 TAMIAMI TRL # D, PORT CHARLOTTE, FL, 339528377, US

Contacts

Phone +1 941-629-7855
Fax 9416299589

Authorized person

Name MS. NOEL E HOLDSWORTH I
Role DIRECTOR
Phone 9416297855

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number NP2596452
State FL
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

President

Name Role Address
HOLDSWORTH NOEL E President 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Director

Name Role Address
HOLDSWORTH NOEL E Director 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
HOLDSWORTH RICHARD A Director 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Vice President

Name Role Address
HOLDSWORTH RICHARD A Vice President 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Secretary

Name Role Address
HOLDSWORTH NOEL E Secretary 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Treasurer

Name Role Address
HOLDSWORTH NOEL E Treasurer 3821 D TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2005-03-07
ANNUAL REPORT 2004-05-03
ANNUAL REPORT 2003-04-30
ANNUAL REPORT 2002-03-29
ANNUAL REPORT 2001-06-26
ANNUAL REPORT 2000-05-18
Domestic Profit 1999-06-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State