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DR. NICOLE WINTER, LLC

Company Details

Entity Name: DR. NICOLE WINTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jul 2024 (6 months ago)
Last Event: LC AMENDMENT
Event Date Filed: 10 Sep 2024 (5 months ago)
Document Number: L24000330606
Address: 76 TRAVELER PALM CT, PONTE VEDRA BEACH, FL, 32082, US
Mail Address: 76 TRAVELER PALM CT, PONTE VEDRA BEACH, FL, 32082, US
ZIP code: 32082
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821818410 2024-10-16 2024-10-16 76 TRAVELER PALM CT, PONTE VEDRA BEACH, FL, 320824655, US 76 TRAVELER PALM CT, PONTE VEDRA BEACH, FL, 320824655, US

Contacts

Phone +1 616-935-5136

Authorized person

Name NICOLE LEE WINTER
Role LICENSED CLINICAL PSYCHOLOGIST
Phone 6169355136

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
WINTER NICOLE L Agent 76 TRAVELER PALM CT., PONTE VEDRA BEACH, FL, 32082

Manager

Name Role Address
WINTER NICOLE L Manager 76 TRAVELER PALM CT., PONTE VEDRA BEACH, FL, 32082

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-09-10 No data No data

Documents

Name Date
LC Amendment 2024-09-10
Florida Limited Liability 2024-07-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State