| Entity Name: | BILL BRACKER, PSYD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Mar 2019 (6 years ago) |
| Document Number: | L19000073615 |
| FEI/EIN Number | 83-4240117 |
| Mail Address: | PO BOX 4722, FORT LAUDERDALE, FL 33338 |
| Address: | 1881 NE 26TH ST, Ste 70, WILTON MANORS, FL 33305-1425 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184186553 | 2019-04-03 | 2023-02-04 | PO BOX 4722, FORT LAUDERDALE, FL, 333384722, US | 1881 NE 26TH ST, WILTON MANORS, FL, 333051416, US | |||||||||||||
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| Phone | +1 954-895-1022 |
Authorized person
| Name | DR. WILLIAM BRACKER JR. |
| Role | OWNER/MEMBER |
| Phone | 9548951922 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRACKER, WILLIAM, JR | Agent | 1881 NE 26TH ST, Ste 70, WILTON MANORS, FL 33305-1425 |
| Name | Role | Address |
|---|---|---|
| BRACKER, WILLIAM, JR | Authorized Member | PO BOX 4722, FORT LAUDERDALE, FL 33338 |
| Name | Role | Address |
|---|---|---|
| Hyman, Paul Laurence | Authorized Representative | PO BOX 4722, FORT LAUDERDALE, FL 33338 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-01 | 1881 NE 26TH ST, Ste 70, WILTON MANORS, FL 33305-1425 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-01 | 1881 NE 26TH ST, Ste 70, WILTON MANORS, FL 33305-1425 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-05-30 |
| Florida Limited Liability | 2019-03-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6078547403 | 2020-05-13 | 0455 | PPP | 915 Middle River Drive, Fort Lauderdale, FL, 33304 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
