| Entity Name: | TRACEE N. MOORE, PH.D, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jul 2012 (13 years ago) |
| Document Number: | L12000094814 |
| FEI/EIN Number | 46-0654572 |
| Address: | 1936 BRUCE B. DOWNS BLVD., suite 75, wesley chapel, FL, 33544, US |
| Mail Address: | 1936 Bruce B. Downs Blvd, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336495332 | 2012-07-27 | 2020-05-01 | 1936 BRUCE B DOWNS BLVD, SUITE 75, WESLEY CHAPEL, FL, 335449262, US | 1936 BRUCE B DOWNS BLVD, SUITE 75, WESLEY CHAPEL, FL, 335449262, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 678-939-8150 |
Authorized person
| Name | DR. TRACEE N MOORE |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 8137147999 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8549 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| License Number | PY8549 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE TRACEE N | Agent | 1936 Bruce B. Downs Blvd, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| MOORE TRACEE N | Managing Member | 1936 Bruce B. Downs Blvd, Wesley Chapel, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-01 | 1936 BRUCE B. DOWNS BLVD., suite 75, wesley chapel, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-30 | 1936 Bruce B. Downs Blvd, Suite 75, Wesley Chapel, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-25 | 1936 BRUCE B. DOWNS BLVD., suite 75, wesley chapel, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
