| Entity Name: | GULF BREEZE THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Sep 2020 (4 years ago) |
| Document Number: | L20000286562 |
| FEI/EIN Number | 85-3193904 |
| Address: | 2705 GULF BREEZE PKWY, GULF BREEZE, FL, 32563, US |
| Mail Address: | 2705 GULF BREEZE PKWY, GULF BREEZE, FL, 32563, US |
| ZIP code: | 32563 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376278606 | 2022-07-20 | 2022-07-20 | 210 FIRETHORN RD, GULF BREEZE, FL, 325614318, US | 2705 GULF BREEZE PKWY, GULF BREEZE, FL, 325633047, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 850-737-6864 |
| Fax | 8556826103 |
Authorized person
| Name | BECCA PIESKE |
| Role | PRACTICE MANAGER |
| Phone | 8507162693 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHURGER ERIC DESQUIRE | Agent | 913 GULF BREEZE PKWY, GULF BREEZE, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| LARSON KAMARIE | Manager | 210 FIRETHORN RD, GULF BREEZE, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-26 | 2705 GULF BREEZE PKWY, GULF BREEZE, FL 32563 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-26 | 2705 GULF BREEZE PKWY, GULF BREEZE, FL 32563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-22 |
| Florida Limited Liability | 2020-09-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
