| Entity Name: | MAGNOLIA BRIDGE LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2024 (a year ago) |
| Document Number: | L24000041600 |
| FEI/EIN Number | 991525065 |
| Address: | 617 North Ave, Tarpon Springs, FL, 34689, US |
| Mail Address: | 1345 SANDY LANE, CLEARWATER, FL, 33755, UN |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649021114 | 2024-04-01 | 2024-04-01 | 1345 SANDY LN, CLEARWATER, FL, 337552042, US | 1567 HUNTINGTON LN, CLEARWATER, FL, 337551338, US | |||||||||||||||||
|
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| Phone | +1 727-225-4305 |
Authorized person
| Name | JASMINE MARIE FISHER |
| Role | MANAGER |
| Phone | 7272254305 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
| Taxonomy Code | 320700000X - Physical Disabilities Residential Treatment Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HUMPHREY GENEVA M | Agent | 1345 SANDY LANE, CLEARWATER, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| HUMPHREY GENEVA | Manager | 1345 SANDY LANE, CLEARWATER, FL, 33755 |
| FISHER JASMINE | Manager | 1345 SANDY LANE, CLEARWATER, FL, 33755 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-19 | 617 North Ave, Tarpon Springs, FL 34689 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
