| Entity Name: | LISA J MOORE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2023 (a year ago) |
| Document Number: | L23000494094 |
| FEI/EIN Number | 833337813 |
| Address: | 1409 KINGSLEY AVE, STE 9D, ORANGE PARK, FL, 32073, US |
| Mail Address: | 1409 KINGSLEY AVE, STE 9D, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093561987 | 2024-04-30 | 2024-04-30 | 1409 KINGSLEY AVE STE 9D, ORANGE PARK, FL, 320734580, US | 1409 KINGSLEY AVE STE 9D, ORANGE PARK, FL, 320734580, US | |||||||||||||||
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| Phone | +1 904-571-8701 |
| Fax | 9045718701 |
Authorized person
| Name | ELISABETH J TUDOR |
| Role | OWNER |
| Phone | 9042692931 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TUDOR ELISABETH J | Agent | 1409 KINGSLEY AVE, STE 9D, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| TUDOR ELISABETH J | Manager | 1409 KINGSLEY AVE, STE 9D, ORANGE PARK, FL, 32073 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| Florida Limited Liability | 2023-10-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
