| Entity Name: | JASPER 1692, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 May 2024 (8 months ago) |
| Document Number: | L24000248470 |
| Address: | 3015 COUNTRY BREEZE DR, PLANT CITY, FL 33567 |
| Mail Address: | 3015 COUNTRY BREEZE DR, PLANT CITY, FL 33567 |
| ZIP code: | 33567 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386474377 | 2024-08-05 | 2024-08-05 | 3015 COUNTRY BREEZE DR, PLANT CITY, FL, 335678606, US | 3015 COUNTRY BREEZE DR, PLANT CITY, FL, 335678606, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-215-0209 |
Authorized person
| Name | ALISON MOORE |
| Role | LCSW |
| Phone | 8132150209 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, ALISON K | Agent | 3015 COUNTRY BREEZE DR, PLANT CITY, FL 33567 |
| Name | Role | Address |
|---|---|---|
| MOORE, ALISON K | Managing Member | 3015 COUNTRY BREEZE DR, PLANT CITY, FL 33567 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-30 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
