| Entity Name: | NAOMI T. JACOBS, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Mar 2001 (24 years ago) |
| Document Number: | P01000026850 |
| FEI/EIN Number | 593708922 |
| Address: | 100 Executive Way, Ponte Vedra Beach, FL, 32082, US |
| Mail Address: | 100 Executive Way, Ponte Vedra Beach, FL, 32082, US |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184996704 | 2012-01-27 | 2013-09-17 | 100 EXECUTIVE WAY, SUITE 207, PONTE VEDRA BEACH, FL, 320822715, US | 100 EXECUTIVE WAY, SUITE 207, PONTE VEDRA BEACH, FL, 320822715, US | |||||||||||||
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| Phone | +1 904-687-6336 |
Authorized person
| Name | NAOMI JACOBS |
| Role | PSYCHOLOGIST |
| Phone | 9046876336 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACOBS NAOMI T | Agent | 100 Executive Way, Ponte Vedra Beach, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| JACOBS NAOMI T | Director | 124 Alsace Court, PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-15 | 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-10 | 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-10 | 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
