| Entity Name: | ALLISON LONG LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2021 (4 years ago) |
| Document Number: | L21000063537 |
| FEI/EIN Number | 86-2929689 |
| Address: | 431 JUPITER LAKES BLVD, 2121 B, JUPITER, FL, 33458, UN |
| Mail Address: | 431 JUPITER LAKES BLVD, 2121 B, JUPITER, FL, 33458, UN |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477251460 | 2023-02-20 | 2023-09-06 | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | 431 JUPITER LAKES BLVD APT 2121B, JUPITER, FL, 334587124, US | |||||||||||||
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| Phone | +1 561-629-0454 |
Authorized person
| Name | DR. ALLISON LELANIA LONG |
| Role | OWNER |
| Phone | 5616290454 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LONG ALLISON | Agent | 431 JUPITER LAKES BLVD, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| LONG ALLISON | Manager | 431 JUPITER LAKES BLVD, 2121 B, JUPITER, FL, 33458 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-19 |
| Florida Limited Liability | 2021-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
