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CLARITY & TRANSFORMATION, PLLC

Company Details

Entity Name: CLARITY & TRANSFORMATION, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Apr 2024 (9 months ago)
Document Number: L24000187137
Address: 5075 ORTEGA COVER CIR, JACKSONVILLE, FL 32244
Mail Address: 5075 ORTEGA COVER CIR, JACKSONVILLE, FL 32244
ZIP code: 32244
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518780808 2024-11-05 2024-11-05 5075 ORTEGA COVE CIRCLE, JACKSONVILLE, FL, 32244, US 1912 HAMILTON STREET, SUITE 102, JACKSONVILLE, FL, 32210, US

Contacts

Phone +1 904-377-7903

Authorized person

Name MR. ANTHONY MARK LAQUIDARA
Role PSYCHIATRIC NURSE PRACTITIONER/CEO
Phone 9043777903

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
MILNE, DOUGLAS J Agent 1912 HAMILTON ST NO 203, JACKSONVILLE, FL 32210

Manager

Name Role Address
LAQUIDARA, ANTHONY Manager ORTEGA COVE CIR, JACKSONVILLE, FL 32244

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000089317 CLARITY PSYCHIATRIC SERVICES ACTIVE 2024-07-25 2029-12-31 No data 5075 ORTEGA COVE CIRCLE, JACKSONVILLE, FL, 32244

Documents

Name Date
Florida Limited Liability 2024-04-25

Date of last update: 07 Jan 2025

Sources: Florida Department of State