| Entity Name: | DR. JACKIE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Oct 2019 (5 years ago) |
| Document Number: | L19000263301 |
| FEI/EIN Number | 84-3645491 |
| Address: | 8081 Tumblestone Court, Delray Beach, FL, 33446, US |
| Mail Address: | 8208 VENOSA HAVEN TERRACE, BOYNTON BEACH, FL, 33473, US |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639715287 | 2019-11-19 | 2019-11-19 | 8208 VENOSA HAVEN TER, BOYNTON BEACH, FL, 334735029, US | 8208 VENOSA HAVEN TER, BOYNTON BEACH, FL, 334735029, US | |||||||||||||
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| Phone | +1 561-423-1811 |
Authorized person
| Name | DR. JACQUELINE SABARESE |
| Role | PSYCHOLOGIST |
| Phone | 6318721198 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SABARESE JACQUELINE | Agent | 8208 VENOSA HAVEN TERRACE, BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| SABARESE JACQUELINE | Manager | 8208 VENOSA HAVEN TERRACE, BOYNTON BEACH, FL, 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-08 | 8081 Tumblestone Court, Delray Beach, FL 33446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-10-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
