| Entity Name: | THE LISTENING DOCTOR PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Feb 2013 (12 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Oct 2018 (6 years ago) |
| Document Number: | L13000028497 |
| FEI/EIN Number | 46-2144896 |
| Address: | 17142 WRIGLEY CIR., FORT MYERS, FL, 33905, US |
| Mail Address: | 13421 Parker Commons Blvd, Suite #103, FORT MYERS, FL, 33912, US |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295159952 | 2014-02-14 | 2015-09-17 | 13421 PARKER COMMONS BLVD, SUITE 101, FORT MYERS, FL, 339122076, US | 13421 PARKER COMMONS BLVD, SUITE 101, FORT MYERS, FL, 339122076, US | |||||||||||||||||||||
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| Phone | +1 239-985-2600 |
| Fax | 2399850103 |
Authorized person
| Name | MARLENE S MOULTON |
| Role | OWNER |
| Phone | 2399852600 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10628400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOULTON MARLENE S | Agent | 13421 PARKER COMMONS BLVD, FORT MYERS, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| MOULTON MARLENE S | Managing Member | 13421 Parker Commons Blvd, FORT MYERS, FL, 33912 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000013554 | WAVE MEDICAL SPA | EXPIRED | 2017-02-06 | 2022-12-31 | No data | 13421 PARKER COMMONS BLVD, STE 101, FORT MYERS, FL, 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 17142 WRIGLEY CIR., FORT MYERS, FL 33905 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 13421 PARKER COMMONS BLVD, SUITE 103, FORT MYERS, FL 33912 | No data |
| LC STMNT OF RA/RO CHG | 2018-10-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-15 | 17142 WRIGLEY CIR., FORT MYERS, FL 33905 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-15 | MOULTON, MARLENE S | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-20 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-07 |
| CORLCRACHG | 2018-10-15 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-05-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
