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CLEARWATER EMDR LLC

Company Details

Entity Name: CLEARWATER EMDR LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Feb 2021 (4 years ago)
Document Number: L21000077929
FEI/EIN Number 86-2286355
Address: 2430 ESTANCIA BLVD, SUITE 100A, CLEARWATER, FL 33761
Mail Address: 2430 ESTANCIA BLVD, SUITE 100A, CLEARWATER, FL 33761
ZIP code: 33761
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417619446 2021-10-07 2021-10-07 2430 ESTANCIA BLVD STE 100A, CLEARWATER, FL, 337612644, US 2430 ESTANCIA BLVD STE 100A, CLEARWATER, FL, 337612644, US

Contacts

Phone +1 727-316-5740
Fax 8332165165

Authorized person

Name MS. MARIE VAGEDES
Role OWNER
Phone 7273165740

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
VAGEDES, MARIE Agent 2430 ESTANCIA BLVD, SUITE 100A, CLEARWATER, FL 33761

Manager

Name Role Address
VAGEDES, MARIE Manager 2430 ESTANCIA BLVD, SUITE 100A CLEARWATER, FL 33761

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-23 2430 ESTANCIA BLVD, SUITE 100A, CLEARWATER, FL 33761 No data

Documents

Name Date
ANNUAL REPORT 2024-01-07
ANNUAL REPORT 2023-01-14
ANNUAL REPORT 2022-01-23
Florida Limited Liability 2021-02-15

Date of last update: 14 Feb 2025

Sources: Florida Department of State