| Entity Name: | GORDON THERAPEUTIC , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Oct 2015 (9 years ago) |
| Document Number: | L15000174931 |
| FEI/EIN Number | 47-5322280 |
| Address: | 2641 E Atlantic Blvd, Pompano Beach, FL, 33062, US |
| Mail Address: | 2641 E Atlantic Blvd, Pompano Beach, FL, 33062, US |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730682907 | 2018-03-14 | 2018-03-14 | 814 SW 119TH WAY, DAVIE, FL, 333253890, US | 120 S UNIVERSITY DR STE F, PLANTATION, FL, 333243346, US | |||||||||||||||||||||||
|
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| Phone | +1 754-444-6032 |
Authorized person
| Name | SECQUAY GORDON |
| Role | OWNER |
| Phone | 7544446032 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT3022 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1871948968 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GORDON Dongdow | Agent | 814 SW 119th Way, Davie, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| GORDON SECQUAY S | Manager | 2641 E Atlantic Blvd, Pompano Beach, FL, 33062 |
| Gordon Dongdow | Manager | 2641 E Atlantic Blvd, Pompano Beach, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | GORDON, Dongdow | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-19 | 2641 E Atlantic Blvd, Suite 308, Pompano Beach, FL 33062 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-19 | 2641 E Atlantic Blvd, Suite 308, Pompano Beach, FL 33062 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-04 | 814 SW 119th Way, Davie, FL 33325 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| AMENDED ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-08-19 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
