| Entity Name: | CHARLES R. MARTIN, PH.D. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Dec 2016 (8 years ago) |
| Document Number: | L16000220745 |
| FEI/EIN Number | 81-4618559 |
| Address: | 2631 NW 41ST STREET, E-6, GAINESVILLE, FL, 32606, US |
| Mail Address: | 2631 NW 41ST STREET, E-6, GAINESVILLE, FL, 32606, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386189314 | 2016-12-29 | 2016-12-29 | 2631 NW 41ST ST, E-6, GAINESVILLE, FL, 326067470, US | 2631 NW 41ST ST, E-6, GAINESVILLE, FL, 326067470, US | |||||||||||||||||
|
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| Phone | +1 352-375-7756 |
Authorized person
| Name | DR. CHARLES R MARTIN |
| Role | PRESIDENT |
| Phone | 3523757756 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY5214 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN CHARLES R | Agent | 2631 NW 41ST STREET, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| MARTIN CHARLES R | Authorized Member | 2631 NW 41ST STREET, SUITE E-6, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| Martin Tamara L | Vice President | 2631 NW 41ST STREET, GAINESVILLE, FL, 32606 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-02-17 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-22 |
| Florida Limited Liability | 2016-12-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
