| Entity Name: | WATERS & KAKLAMANOS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Feb 2007 (18 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 14 Jan 2022 (3 years ago) |
| Document Number: | L07000015050 |
| FEI/EIN Number | 261370505 |
| Address: | 1801 North Meridian Rd, TALLAHASSEE, FL, 32303, US |
| Mail Address: | 1311 Covington Drive, TALLAHASSEE, FL, 32312, US |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346592748 | 2012-10-09 | 2012-10-09 | 1664 METROPOLITAN CIR, SUITE 2, TALLAHASSEE, FL, 323087784, US | 1664 METROPOLITAN CIR, SUITE 2, TALLAHASSEE, FL, 323087784, US | |||||||||||||||||||||||||
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| Phone | +1 850-385-1190 |
| Fax | 8503851191 |
Authorized person
| Name | DR. MARY WATERS |
| Role | PROVIDER |
| Phone | 8503851190 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 4135 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 73583 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kaklamanos Keely Dr. | Agent | 1311 Covington Dr, TALLAHASSEE, FL, 32312 |
| Name | Role | Address |
|---|---|---|
| KAKLAMANOS KEELY P | Manager | 1311 COVINGTON DRIVE, TALLAHASSEE, FL, 32312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-05 | 1801 North Meridian Rd, Suite B, TALLAHASSEE, FL 32303 | No data |
| LC DISSOCIATION MEM | 2022-01-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-05 | 1801 North Meridian Rd, Suite B, TALLAHASSEE, FL 32303 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-15 | 1311 Covington Dr, TALLAHASSEE, FL 32312 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-15 | Kaklamanos, Keely , Dr. | No data |
| PENDING REINSTATEMENT | 2011-04-11 | No data | No data |
| REINSTATEMENT | 2011-04-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-07 |
| CORLCDSMEM | 2022-01-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-04-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
