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MAKE WAVES THERAPY LLC

Company Details

Entity Name: MAKE WAVES THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Jan 2024 (a year ago)
Document Number: L24000015896
FEI/EIN Number 99-1334818
Address: 1805 Staples Ave, #101, Key West, FL 33040
Mail Address: 1805 Staples Ave, #101, Key West, FL 33040
ZIP code: 33040
County: Monroe
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508619792 2024-04-08 2024-04-08 1805 STAPLES AVE STE 101, KEY WEST, FL, 330403633, US 1805 STAPLES AVE STE 101, KEY WEST, FL, 330403633, US

Contacts

Phone +1 786-929-6162
Fax 7866529781

Authorized person

Name DELIA GERARD
Role CEO
Phone 3056999316

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
GERARD, DELIA Agent 20787 SIXTH AVE WEST, CUDJOE KEY, FL 33042

President

Name Role Address
GERARD, DELIA President 20787 SIXTH AVE WEST, CUDJOE KEY, FL 33042

Vice President

Name Role Address
GERARD, DELIA Vice President 20787 SIXTH AVE WEST, CUDJOE KEY, FL 33042

Secretary

Name Role Address
GERARD, DELIA Secretary 20787 SIXTH AVE WEST, CUDJOE KEY, FL 33042

Treasurer

Name Role Address
GERARD, DELIA Treasurer 20787 SIXTH AVE WEST, CUDJOE KEY, FL 33042

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-23 1805 Staples Ave, #101, Key West, FL 33040 No data
CHANGE OF MAILING ADDRESS 2024-02-23 1805 Staples Ave, #101, Key West, FL 33040 No data

Documents

Name Date
Florida Limited Liability 2024-01-05

Date of last update: 09 Feb 2025

Sources: Florida Department of State