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JACQUELYN GRANDA LLC

Company Details

Entity Name: JACQUELYN GRANDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Aug 2019 (5 years ago)
Document Number: L19000204203
FEI/EIN Number 84-2791632
Address: 21301 Powerline Road, Boca Raton, FL, 33433, US
Mail Address: 21148 Via Ventura, Boca Raton, FL, 33433, US
ZIP code: 33433
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528618501 2019-09-12 2019-09-12 21301 POWERLINE RD STE 304, BOCA RATON, FL, 334332391, US 21301 POWERLINE RD STE 304, BOCA RATON, FL, 334332391, US

Contacts

Phone +1 561-299-1549

Authorized person

Name JACQUELYN MICHELLE GRANDA
Role OWNER
Phone 5619028317

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
GRANDA JACQUELYN M Agent 21148 Via Ventura, Boca Raton, FL, 33433

Manager

Name Role Address
GRANDA JACQUELYN M Manager 21148 Via Ventura, Boca Raton, FL, 33433

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-02-02 21301 Powerline Road, Suite 304, Boca Raton, FL 33433 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-02 21148 Via Ventura, Boca Raton, FL 33433 No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-18 21301 Powerline Road, Suite 304, Boca Raton, FL 33433 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-03-18
Florida Limited Liability 2019-08-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State