| Entity Name: | JAIME MARRA, PHD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2018 (6 years ago) |
| Document Number: | L18000255142 |
| FEI/EIN Number | 83-2413494 |
| Address: | 4320 DEERWOOD LAKE PARKWAY, SUITE 101-108, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4320 DEERWOOD LAKE PARKWAY, SUITE 101-108, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245709559 | 2018-11-15 | 2018-11-15 | 4320 DEERWOOD LAKE PKWY STE 101-108, JACKSONVILLE, FL, 322161177, US | 4320 DEERWOOD LAKE PKWY STE 101-108, JACKSONVILLE, FL, 322161177, US | |||||||||||||
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| Phone | +1 904-479-5120 |
Authorized person
| Name | JAIME VICTORIA MARRA |
| Role | LICENSED PSYCHOLOGIST/OWNER |
| Phone | 9044795120 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARRA JAIME | Agent | 4320 DEERWOOD LAKE PARKWAY, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MARRA JAIME | Authorized Person | 4320 DEERWOOD LAKE PARKWAY, SUITE 101-108, JACKSONVILLE, FL, 32216 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-09-26 |
| Florida Limited Liability | 2018-10-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
