| Entity Name: | LAURA GRAZE, DNP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2020 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 14 Sep 2023 (a year ago) |
| Document Number: | L20000133823 |
| FEI/EIN Number | 85-1158322 |
| Address: | 600 NE BAYBERRY LN, JENSEN BEACH, FL, 34957, US |
| Mail Address: | 600 NE BAYBERRY LN, JENSEN BEACH, FL, 34957, US |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083203954 | 2021-01-14 | 2021-01-14 | 600 NE BAYBERRY LN, JENSEN BEACH, FL, 349576824, US | 600 NE BAYBERRY LN, JENSEN BEACH, FL, 349576824, US | |||||||||||||
|
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| Phone | +1 772-800-9796 |
Authorized person
| Name | LAURA GRAZE |
| Role | NURSE PRACTITIONER/OWNER |
| Phone | 7728009796 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAZE LAURA | Agent | 600 NE BAYBERRY LN, JENSEN BEACH, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| GRAZE GEOFFREY | Authorized Representative | 600 NE BAYBERRY LN, JENSEN BEACH, 34957 |
| Name | Role | Address |
|---|---|---|
| Graze Laura | Manager | 528 SE Osceola St 1B, stuart, FL, 34994 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000129723 | GRAZE ANATOMY & ASSOCIATES | ACTIVE | 2022-10-17 | 2027-12-31 | No data | 615 SW SAINT LUCIE CRESCENT, #101, STUART, FL, 34994 |
| G22000129712 | NEW WAVE MEDICAL GROUP | ACTIVE | 2022-10-17 | 2027-12-31 | No data | 615 SW SAINT LUCIE CRESCENT #101, STUART, FL, 34994 |
| G21000113277 | GRAZE ANATOMY | ACTIVE | 2021-09-01 | 2026-12-31 | No data | 600 NE BAYBERRY LN, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-09-15 | GRAZE, LAURA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-15 | 600 NE BAYBERRY LN, JENSEN BEACH, FL 34957 | No data |
| LC STMNT OF RA/RO CHG | 2023-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-14 | 600 NE BAYBERRY LN, JENSEN BEACH, FL 34957 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-14 | 600 NE BAYBERRY LN, JENSEN BEACH, FL 34957 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| AMENDED ANNUAL REPORT | 2023-10-03 |
| Reg. Agent Change | 2023-09-15 |
| CORLCRACHG | 2023-09-14 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-02 |
| Florida Limited Liability | 2020-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
