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WAVE AUDIOLOGY LLC

Company Details

Entity Name: WAVE AUDIOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 09 Feb 2021 (4 years ago)
Document Number: L21000068234
FEI/EIN Number 86-1952550
Address: 543 NW Lake Whitney Place, Suite 103, Port Saint Lucie, FL 34986
Mail Address: 543 NW Lake Whitney Place, Suite 103, Port Saint Lucie, FL 34986
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265188817 2022-02-22 2022-04-28 543 NW LAKE WHITNEY PL STE 103, PORT SAINT LUCIE, FL, 349861604, US 543 NW LAKE WHITNEY PL STE 103, PORT SAINT LUCIE, FL, 349861604, US

Contacts

Phone +1 772-206-0648

Authorized person

Name LINDSAY ELIZA GRACEY
Role OWNER
Phone 8506614678

Taxonomy

Taxonomy Code 231H00000X - Audiologist
Is Primary Yes

Agent

Name Role Address
GRACEY, LINDSAY E Agent 543 NW Lake Whitney Place, Suite 103, Port Saint Lucie, FL 34986

Manager

Name Role Address
GRACEY, LINDSAY E Manager 12920 NW Copper Creek Drive, Port St Lucie, FL 34987 UN

Authorized Representative

Name Role Address
Gracey, David Michael Authorized Representative 12920 NW Copper Creek Drive, Port Saint Lucie, FL 34987

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-07 543 NW Lake Whitney Place, Suite 103, Port Saint Lucie, FL 34986 No data
CHANGE OF MAILING ADDRESS 2022-02-07 543 NW Lake Whitney Place, Suite 103, Port Saint Lucie, FL 34986 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-07 543 NW Lake Whitney Place, Suite 103, Port Saint Lucie, FL 34986 No data

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-02-07
Florida Limited Liability 2021-02-09

Date of last update: 14 Jan 2025

Sources: Florida Department of State