| Entity Name: | PARKSIDE AUDIOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2022 (3 years ago) |
| Document Number: | L22000059474 |
| FEI/EIN Number | 88-0648074 |
| Address: | 3825 HENDERSON BLVD, SUITE 600, Tampa, FL, 33629, US |
| Mail Address: | 3203 W TAMBAY AVE, TAMPA, FL, 33611, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598412470 | 2022-03-09 | 2022-03-09 | 3203 W TAMBAY AVE, TAMPA, FL, 336111539, US | 3825 HENDERSON BLVD STE 600, TAMPA, FL, 336295032, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-391-4333 |
Authorized person
| Name | KRISTEN HERRMANN DECELLES |
| Role | OWNER |
| Phone | 8133914333 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DECELLES KRISTEN H | Agent | 3203 W TAMBAY AVE, TAMPA, FL, 33611 |
| Name | Role | Address |
|---|---|---|
| DECELLES KRISTEN H | Authorized Member | 3203 W TAMBAY AVE, TAMPA, FL, 33611 |
| Name | Role | Address |
|---|---|---|
| DECELLES SCOTT R | Manager | 3203 W TAMBAY AVE, TAMPA, FL, 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 3825 HENDERSON BLVD, SUITE 600, Tampa, FL 33629 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-01-31 |
| Florida Limited Liability | 2022-01-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
