| Entity Name: | LINDA APPENFELDT, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Nov 1983 (41 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | G70689 |
| FEI/EIN Number | 59-2343129 |
| Address: | 5120 CENTRAL AVE., ST PETERSBURG, FL 33707 |
| Mail Address: | 5120 CENTRAL AVE., ST PETERSBURG, FL 33707 |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134375868 | 2008-08-13 | 2015-02-03 | 5400 CENTRAL AVE, ST PETERSBURG, FL, 337076131, US | 5400 CENTRAL AVE, ST PETERSBURG, FL, 337076131, US | |||||||||||||||||||||||||
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| Phone | +1 727-321-4795 |
| Fax | 7273215063 |
Authorized person
| Name | LINDA APPENFELDT |
| Role | PRESIDENT |
| Phone | 7273214795 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY 2020 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 681011096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| APPENFELDT, LINDA | Agent | 5120 CENTRAL AVE, ST PETERSBURG, FL 33707 |
| Name | Role | Address |
|---|---|---|
| APPENFELDT, LINDA | President | 5120 CENTRAL AVE, ST PETERSBURG, FL 33707 |
| Name | Role | Address |
|---|---|---|
| APPENFELDT, LINDA | Director | 5120 CENTRAL AVE, ST PETERSBURG, FL 33707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-09 | 5120 CENTRAL AVE., ST PETERSBURG, FL 33707 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-09 | 5120 CENTRAL AVE., ST PETERSBURG, FL 33707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-09 | 5120 CENTRAL AVE, ST PETERSBURG, FL 33707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-04-20 |
| ANNUAL REPORT | 2012-04-04 |
| ANNUAL REPORT | 2011-04-13 |
| ANNUAL REPORT | 2010-04-19 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
