| Entity Name: | DR. GAIL GREENSPOON CONSULTING SERVICES PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2011 (14 years ago) |
| Document Number: | L11000000688 |
| FEI/EIN Number | 453744985 |
| Address: | 6501 Congress Ave, BOCA RATON, FL, 33487, US |
| Mail Address: | 6501 Congress Ave, BOCA RATON, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659793313 | 2014-01-15 | 2014-01-15 | 2499 GLADES RD, SUITE 203, BOCA RATON, FL, 334317209, US | 2499 GLADES RD, SUITE 203, BOCA RATON, FL, 334317209, US | |||||||||||||||||||||||||
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| Phone | +1 561-392-7779 |
| Fax | 5614479234 |
Authorized person
| Name | DR. GAIL LESLIE GREENSPOON |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 5613927779 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0004938 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER |
| Number | 59467 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GREENSPOON GAIL | Agent | 6501 Congress Ave, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| GREENSPOON GAIL | Managing Member | 6501 Congress Ave, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 6501 Congress Ave, SUITE 108, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 6501 Congress Ave, SUITE 108, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 6501 Congress Ave, SUITE 108, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
