| Entity Name: | HEATHER JORDON CLARK, PHD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jan 2008 (17 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 15 Oct 2009 (15 years ago) |
| Document Number: | L08000005080 |
| FEI/EIN Number | 38-3774470 |
| Address: | 2124 NE 65 Street, Fort Lauderdale, FL 33308 |
| Mail Address: | 2124 NE 65 Street, Fort Lauderdale, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740456300 | 2008-05-05 | 2010-09-20 | 600 SW 3RD ST, SUITE 2270, POMPANO BEACH, FL, 330606932, US | 600 SW 3RD ST, SUITE 2270, POMPANO BEACH, FL, 330606932, US | |||||||||||||||||||
|
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| Phone | +1 954-960-8900 |
| Fax | 9549608888 |
Authorized person
| Name | DR. HEATHER JORDON CLARK |
| Role | OWNER |
| Phone | 9549608900 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 7620 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SADER, ROBERT L | Agent | 6300 NE 1st Avenue, 102, FT LAUDERDALE, FL 33334 |
| Name | Role | Address |
|---|---|---|
| CLARK, HEATHER J, PhD | DR. | 2124 NE 65 Street, Fort Lauderdale, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 2124 NE 65 Street, Fort Lauderdale, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 2124 NE 65 Street, Fort Lauderdale, FL 33308 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-14 | SADER, ROBERT L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-14 | 6300 NE 1st Avenue, 102, FT LAUDERDALE, FL 33334 | No data |
| CANCEL ADM DISS/REV | 2009-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
