| Entity Name: | MARTA JACENYIK LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Dec 2001 (23 years ago) |
| Document Number: | L01000021314 |
| FEI/EIN Number | 593759936 |
| Address: | 3759 BENGAL RD, GULF BREEZE, FL, 32563, US |
| Mail Address: | 3759 BENGAL RD, GULF BREEZE, FL, 32563, US |
| ZIP code: | 32563 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366589780 | 2007-02-01 | 2014-03-03 | PO BOX 1171, GULF BREEZE, FL, 325621171, US | 3759 BENGAL RD, GULF BREEZE, FL, 325633454, US | |||||||||||||||||
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| Phone | +1 850-934-9866 |
Authorized person
| Name | DR. MARTA JACENYIK |
| Role | PRESIDENT |
| Phone | 8509349866 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME67496 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACENYIK MARTA | Agent | 3759 BENGAL RD, GULF BREEZE, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| JACENYIK MARTA | Manager | 3759 BENGAL RD, GULF BREEZE, FL, 32563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-08 | 3759 BENGAL RD, GULF BREEZE, FL 32563 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-14 | 3759 BENGAL RD, GULF BREEZE, FL 32563 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-14 | 3759 BENGAL RD, GULF BREEZE, FL 32563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-02-25 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-10 |
| ANNUAL REPORT | 2015-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
