| Entity Name: | JEFFREY M. GRAN, PSY.D, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jul 2001 (24 years ago) |
| Document Number: | P01000069902 |
| FEI/EIN Number | 651120711 |
| Address: | 9090 S.W. 87th Court, Suite 200, Miami, FL, 33176, US |
| Mail Address: | 420 S.W. 70TH AVENUE, PEMBROKE PINES, FL, 33023 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285814566 | 2007-11-05 | 2007-11-13 | 420 SW 70TH AVE, PEMBROKE PINES, FL, 330231019, US | 1050 NE 125TH ST, NORTH MIAMI, FL, 331615805, US | |||||||||||||||||||||
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| Phone | +1 954-893-7829 |
| Fax | 9548937829 |
| Phone | +1 954-558-2870 |
Authorized person
| Name | DR. JEFFREY M. GRAN |
| Role | PRESIDENT |
| Phone | 9548937829 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY 5683 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAN JEFFREY M | Agent | 9090 S.W. 87th Court, Miami, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| GRAN JEFFREY M | President | 420 SW 70TH AVENUE, PEMBROKE PINES, FL, 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-22 | 9055 S.W. 87th Avenue, Miami, FL 33187 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-22 | 9055 S.W. 87th Avenue, Miami, FL 33187 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-05 | 9055 S.W. 87th Avenue, Miami, FL 33187 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
