| Entity Name: | YIARA S. BLANCO, PSY.D. PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2019 (6 years ago) |
| Document Number: | L19000024590 |
| FEI/EIN Number | 83-3389252 |
| Address: | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 33613, US |
| Mail Address: | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457914343 | 2019-04-17 | 2019-04-17 | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 336132612, US | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 336132612, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 813-701-2471 |
| Fax | 8137012471 |
Authorized person
| Name | DR. YIARA S BLANCO |
| Role | LICENSED CLINICAL PSYCHOLOGIST |
| Phone | 8137012471 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BLANCO YIARA S | Authorized Member | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-14 |
| Florida Limited Liability | 2019-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
