| Entity Name: | DISCOVERY PRACTICE MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 16 Oct 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Mar 2017 (8 years ago) |
| Document Number: | F15000004603 |
| FEI/EIN Number | 95-4628972 |
| Address: | 18401 Von Karman, Suite 500, Irvine, CA, 92612, US |
| Mail Address: | 18401 Von Karman, Suite 500, Irvine, CA, 92612, US |
| Place of Formation: | CALIFORNIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346904422 | 2021-10-26 | 2023-07-11 | 18401 VON KARMAN AVE STE 500, IRVINE, CA, 926128531, US | 11891 US HIGHWAY 1 STE 104, NORTH PALM BEACH, FL, 334082864, US | |||||||||||||||||||
|
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| Phone | +1 714-828-1800 |
| Fax | 7148821186 |
Authorized person
| Name | MAGDALEN GUSTILO |
| Role | DIRECTOR OF PAYER RELATIONS |
| Phone | 7145687667 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Cooper W. B | Chief Financial Officer | 18401 Von Karman, Irvine, CA, 92612 |
| Nelson Mark B | Chief Financial Officer | 18401 Von Karman, Irvine, CA, 92612 |
| Name | Role | Address |
|---|---|---|
| Peloquin John | Director | 18401 Von Karman, Irvine, CA, 92612 |
| Name | Role | Address |
|---|---|---|
| Rudsenske Todd | Treasurer | 18401 Von Karman, Irvine, CA, 92612 |
| Name | Role | Address |
|---|---|---|
| Peloquin John | Chief Executive Officer | 18401 Von Karman, Irvine, CA, 92612 |
| Name | Role | Address |
|---|---|---|
| Goffman Jeffrey | Secretary | 18401 Von Karman, Irvine, CA, 92612 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000010672 | CENTER FOR DISCOVERY, ORLANDO | ACTIVE | 2020-01-22 | 2025-12-31 | No data | 4281 KATELLA AVE., SUITE 111, LOS ALAMITOS, CA, 90720 |
| G19000081617 | DISCOVERY MOOD & ANXIETY PROGRAM | EXPIRED | 2019-07-31 | 2024-12-31 | No data | 4281 KATELLA AVE STE 111, LOS ALAMITOS, CA, 90720--358 |
| G16000055694 | CENTER FOR DISCOVERY | EXPIRED | 2016-06-06 | 2021-12-31 | No data | 4281 KATELLA AVE. SUITE 111, LOS ALAMITOS, CA, 90720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-15 | 18401 Von Karman, Suite 500, Irvine, CA 92612 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-15 | 18401 Von Karman, Suite 500, Irvine, CA 92612 | No data |
| REINSTATEMENT | 2017-03-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-29 | C T CORPORATION SYSTEM | No data |
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-06-28 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-01 |
| AMENDED ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-07 |
| REINSTATEMENT | 2017-03-29 |
| Reg. Agent Change | 2016-06-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
