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STACY O'BRIEN AUDIOLOGY, LLC

Company Details

Entity Name: STACY O'BRIEN AUDIOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Oct 2014 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Jan 2024 (a year ago)
Document Number: L14000162663
FEI/EIN Number 81-4982440
Address: 3817 S. Nova Rd., STE 104-187, PORT ORANGE, FL, 32127, US
Mail Address: 3817 S. Nova Rd., STE 104-187, PORT ORANGE, FL, 32127, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093105280 2015-01-27 2015-01-27 4624 RIVERWALK VILLAGE CT, PONCE INLET, FL, 321277261, US 1185 DUNLAWTON AVE, SUITE 103, PORT ORANGE, FL, 321272905, US

Contacts

Phone +1 813-767-0938

Authorized person

Name STACY A O'BRIEN
Role OWNER/OPERATOR
Phone 8137670938

Taxonomy

Taxonomy Code 231H00000X - Audiologist
License Number L14000162663
State FL
Is Primary Yes

Agent

Name Role Address
O'BRIEN STACY AAU.D. Agent 3817 S. Nova Rd., PORT ORANGE, FL, 32127

Manager

Name Role Address
O'BRIEN STACY AAU.D. Manager 3817 S. Nova Rd., PORT ORANGE, FL, 32127

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000077352 GLOBAL HEARING SERVICES EXPIRED 2017-07-19 2022-12-31 No data 1175 DUNLAWTON AVENUE, SUITE 101, PORT ORANGE, FL, 32127
G17000003190 ATLANTIC HEARING EXPIRED 2017-01-09 2022-12-31 No data 1175 DUNLAWTON AVENUE, SUITE 101, PORT ORANGE, FL, 32127
G15000042921 ATLANTIC AUDIOLOGY EXPIRED 2015-04-29 2020-12-31 No data 4624 RIVERWALK VILLAGE COURT, PONCE INLET, FL, 32127

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-11 3817 S. Nova Rd., STE 104-187, PORT ORANGE, FL 32127 No data
REGISTERED AGENT NAME CHANGED 2024-01-11 O'BRIEN, STACY A, AU.D. No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-11 3817 S. Nova Rd., STE 104-187, PORT ORANGE, FL 32127 No data
REINSTATEMENT 2024-01-11 No data No data
CHANGE OF MAILING ADDRESS 2024-01-11 3817 S. Nova Rd., STE 104-187, PORT ORANGE, FL 32127 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
LC STMNT OF RA/RO CHG 2018-10-24 No data No data

Documents

Name Date
REINSTATEMENT 2024-01-11
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-18
CORLCRACHG 2018-10-24
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-23
Florida Limited Liability 2014-10-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State