| Entity Name: | GISELLE LEIBOVITCH, PHD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Dec 2020 (4 years ago) |
| Document Number: | L21000002352 |
| FEI/EIN Number | 86-1300283 |
| Address: | 7274 NW 68TH DRIVE, PARKLAND, FL, 33067 |
| Mail Address: | 7274 NW 68TH DRIVE, PARKLAND, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467044594 | 2021-02-10 | 2021-02-10 | 7274 NW 68TH DR, PARKLAND, FL, 330674730, US | 7274 NW 68TH DR, PARKLAND, FL, 330674730, US | |||||||||||||
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| Phone | +1 954-817-1137 |
Authorized person
| Name | DR. GISELLE LEIBOVITCH |
| Role | OWNER/PSYCHOLOGIST |
| Phone | 9548171137 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEIBOVITCH GISELLE | Agent | 7274 NW 68TH DRIVE, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| LEIBOVITCH GISELLE DR. | Manager | 7274 NW 68TH DR, PARKLAND, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-09 | 7274 NW 68TH DRIVE, PARKLAND, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-09 |
| Florida Limited Liability | 2020-12-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
