| Entity Name: | JEFFREY D REYNOLDS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Dec 2016 (8 years ago) |
| Document Number: | L16000228136 |
| FEI/EIN Number | 81-4762496 |
| Address: | 16627 PABLO ISLAND DRIVE, Groveland, FL, 34736, US |
| Mail Address: | 16627 Pablo Island Drive, Groveland, FL, 34736, US |
| ZIP code: | 34736 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376320531 | 2023-09-12 | 2023-09-12 | 16627 PABLO ISLAND DRIVE, GROVELAND, FL, 347369238, US | 16627 PABLO ISLAND DRIVE, GROVELAND, FL, 347369238, US | |||||||||||||||||
|
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| Phone | +1 352-777-9887 |
Authorized person
| Name | JEFFREY D REYNOLDS |
| Role | OWNER |
| Phone | 3527779887 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REYNOLDS JEFFREY D | Agent | 16627 PABLO ISLAND DRIVE, Groveland, FL, 34736 |
| Name | Role | Address |
|---|---|---|
| Reynolds Jeffrey D | Authorized Member | 16627 PABLO ISLAND DRIVE, Groveland, FL, 34736 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000023299 | JEFFREY DAVID, AUTHOR | EXPIRED | 2017-03-04 | 2022-12-31 | No data | JEFFREY DAVID, 13984 VIA FLORA # C, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-05 | 16627 PABLO ISLAND DRIVE, Groveland, FL 34736 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-05 | 16627 PABLO ISLAND DRIVE, Groveland, FL 34736 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-05 | 16627 PABLO ISLAND DRIVE, Groveland, FL 34736 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-03-24 |
| Florida Limited Liability | 2016-12-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
