| Entity Name: | GEORGE A. JACINTO, PHD, LCSW, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Nov 2015 (9 years ago) |
| Document Number: | L15000191373 |
| FEI/EIN Number | 47-5615972 |
| Address: | 2605 GULF BLVD., BELLEAIR BEACH, FL, 33786, US |
| Mail Address: | 2605 GULF BLVD., BELLEAIR BEACH, FL, 33786, US |
| ZIP code: | 33786 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801451083 | 2019-05-03 | 2019-05-03 | 2605 GULF BLVD, BELLEAIR BEACH, FL, 337863500, US | 2605 GULF BLVD, BELLEAIR BEACH, FL, 337863500, US | |||||||||||||||||||
|
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| Phone | +1 407-453-2594 |
Authorized person
| Name | DR. GEORGE A JACINTO |
| Role | LCSW |
| Phone | 4074532594 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DOH |
| Number | SW3241 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLEMENTS PAUL R | Agent | 2605 GULF BLVD., BELLEAIR BEACH, FL, 33786 |
| Name | Role | Address |
|---|---|---|
| JACINTO GEORGE ADr. | Authorized Member | 2605 GULF BLVD., BELLEAIR BEACH, FL, 33786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-28 | CLEMENTS, PAUL R. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-26 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-03-10 |
| Florida Limited Liability | 2015-11-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
