Entity Name: | BREAK FREE THERAPY GROUP LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 29 Jan 2024 (a year ago) |
Document Number: | L24000053194 |
Address: | 1766 SEA LARK DR E5, NAVARRE, FL 32566 |
Mail Address: | 1991 COMMODORE DR, NAVARRE, FL 32566 |
ZIP code: | 32566 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497588750 | 2024-08-22 | 2024-08-22 | 1991 COMMODORE DR, NAVARRE, FL, 325667651, US | 1766 SEA LARK LN # E5, NAVARRE, FL, 325668190, US | |||||||||||||||
|
Phone | +1 850-206-5367 |
Fax | 8509610054 |
Authorized person
Name | JOANNE E JACOBS |
Role | CEO/THERAPIST |
Phone | 8502065367 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JACOBS, JOANNE E | Agent | 1991 COMMODORE DR, NAVARRE, FL 32566 |
Name | Role | Address |
---|---|---|
JACOBS, JOANNE E | Manager | 1766 SEA LARK DRIVE E5, NAVARRE, FL 32566 |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-29 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State