| Entity Name: | CRYSTAL HEARING SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Feb 2020 (5 years ago) |
| Document Number: | L20000052501 |
| FEI/EIN Number | 84-4795843 |
| Address: | 16251 N CLEVELAND AVE #8, NORTH FORT MYERS, FL 33903 |
| Mail Address: | 16251 N CLEVELAND AVE #8, NORTH FORT MYERS, FL 33903 |
| ZIP code: | 33903 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982238127 | 2020-02-26 | 2022-02-16 | 16251 N CLEVELAND AVE STE 8, NORTH FORT MYERS, FL, 339032176, US | 16251 N CLEVELAND AVE STE 8, NORTH FORT MYERS, FL, 339032176, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 239-997-8288 |
| Fax | 2399978084 |
Authorized person
| Name | DR. CRYSTAL MARIE BROUSSARD |
| Role | DOCTOR OF AUDIOLOGY/OWNER |
| Phone | 2399978288 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| Is Primary | Yes |
| Taxonomy Code | 231HA2400X - Assistive Technology Practitioner Audiologist |
| Is Primary | No |
| Taxonomy Code | 231HA2500X - Assistive Technology Supplier Audiologist |
| Is Primary | No |
| Taxonomy Code | 237600000X - Audiologist-Hearing Aid Fitter |
| Is Primary | No |
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332S00000X - Hearing Aid Equipment |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CRYSTAL BROUSSARD | Agent | 16251 N CLEVELAND AVE #8, NORTH FORT MYERS, FL 33903 |
| Name | Role | Address |
|---|---|---|
| CRYSTAL BROUSSARD | Manager | 16251 N CLEVELAND AVE #8, NORTH FORT MYERS, FL 33903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-05-02 | CRYSTAL BROUSSARD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-02-20 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
