| Entity Name: | JACKSONVILLE PSYCH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Jul 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000343895 |
| FEI/EIN Number | 87-2940023 |
| Mail Address: | 12058 San Jose Blvd, JACKSONVILLE, FL, 32223, US |
| Address: | 12058 SAN JOSE BLVD., SUITE 404-C, JACKSONVILLE, FL, 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477211506 | 2021-12-06 | 2021-12-06 | 12058 SAN JOSE BLVD., SUITE 404-C, JACKSONVILLE, FL, 322238666, US | 12058 SAN JOSE BLVD., SUITE 404-C, JACKSONVILLE, FL, 322238666, US | |||||||||||||
|
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| Phone | +1 904-708-9220 |
Authorized person
| Name | MS. JESSICA GREGORY |
| Role | APRN, OWNER |
| Phone | 9043304059 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gregory Jessica M | Agent | 12058 SAN JOSE BLVD., JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| GREGORY JESSICA M | Owner | 12058 San Jose Blvd., JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-09-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-29 | 12058 SAN JOSE BLVD., SUITE 404-C, JACKSONVILLE, FL 32223 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-29 | Gregory, Jessica M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2022-09-29 |
| Florida Limited Liability | 2021-07-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
