| Entity Name: | BRITTA BOEKAMP PSY D, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Mar 2017 (8 years ago) |
| Document Number: | L17000056249 |
| FEI/EIN Number | 82-0819699 |
| Address: | 3001 Aloma Aven Suite 104, Winter Park, FL, 32792, US |
| Mail Address: | 3001 Aloma Aven Suite 104, Winter Park, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972000123 | 2018-04-12 | 2018-08-17 | 335 N MAGNOLIA AVE APT 507, ORLANDO, FL, 328011770, US | 870 CLARK ST STE 1030, OVIEDO, FL, 327659270, US | |||||||||||||||||
|
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| Phone | +1 952-412-6824 |
| Phone | +1 407-494-9436 |
| Fax | 4073694193 |
Authorized person
| Name | BRITTA BOEKAMP |
| Role | PSYCHOLOGIST |
| Phone | 4074949436 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CPA SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BOEKAMP BRITTA | Managing Member | 738 Carlson Drive, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 3001 Aloma Aven Suite 104, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 3001 Aloma Aven Suite 104, Winter Park, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-03-18 |
| Florida Limited Liability | 2017-03-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
