| Entity Name: | JACQUE', INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Sep 1990 (34 years ago) |
| Document Number: | S00226 |
| FEI/EIN Number | 65-0221500 |
| Address: | 2699 Stirling Road, suite C102, Ft Lauderdale, FL 33312 |
| Mail Address: | 166 NW 103RD STREET, MIAMI, FL 33150 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073274171 | 2022-01-01 | 2022-01-01 | 166 NW 103RD ST, MIAMI SHORES, FL, 331501236, US | 3291 NE 2ND AVE STE 10, OAKLAND PARK, FL, 333341101, US | |||||||||||||||
|
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| Phone | +1 786-266-7591 |
| Phone | +1 786-496-4091 |
Authorized person
| Name | DR. JACQUELINE M SMALL |
| Role | OWNER |
| Phone | 7862667591 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONES, CHARLES L. | Agent | 9900 SW 168TH ST., SUITE #9, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| SMALL, JACQUELINE | Director | 166 NW 103RD STREET, MIAMI, FL 33150 |
| Name | Role | Address |
|---|---|---|
| Small, Jonte L | Vice President | 166 NW 103RD STREET, MIAMI, FL 33150 |
| Name | Role | Address |
|---|---|---|
| Small, Jonte L | Secretary | 166 NW 103RD STREET, MIAMI, FL 33150 |
| Name | Role | Address |
|---|---|---|
| Small, Jonte L | Treasurer | 166 NW 103RD STREET, MIAMI, FL 33150 |
| Name | Role | Address |
|---|---|---|
| SMALL, JACQUELINE | President | 166 NW 103RD STREET, MIAMI, FL 33150 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-10 | 2699 Stirling Road, suite C102, Ft Lauderdale, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-11 | 2699 Stirling Road, suite C102, Ft Lauderdale, FL 33312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-07-28 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-01-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
