| Entity Name: | PAUL J. MISKE, PH. D, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Sep 2002 (22 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | L02000024365 |
| FEI/EIN Number | 300115670 |
| Address: | 923 DEL PRADO BLVD., STE # 205, CAPE CORAL, FL, 33990 |
| Mail Address: | 2045 SE 28TH ST, CAPE CORAL, FL, 33904 |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275689762 | 2007-01-26 | 2007-10-15 | 2045 SE 28TH ST, CAPE CORAL, FL, 339043284, US | 916 EL DORADO PKWY W, CAPE CORAL, FL, 339147251, US | |||||||||||||||||||||||||
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| Phone | +1 239-242-0588 |
| Fax | 2392429945 |
Authorized person
| Name | DR. PAUL J MISKE |
| Role | OWNER |
| Phone | 2392420588 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 6267 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBC OF FL PROVIDER NUMBE |
| Number | 54611 |
| State | DC |
| Name | Role | Address |
|---|---|---|
| MISKE PAUL J | Agent | 2045 S.E. 28TH ST., CAPE CORAL, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| MISKE PAUL J | Manager | 2045 S.E. 28TH ST., CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-24 | 923 DEL PRADO BLVD., STE # 205, CAPE CORAL, FL 33990 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-24 | 923 DEL PRADO BLVD., STE # 205, CAPE CORAL, FL 33990 | No data |
| REINSTATEMENT | 2003-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-01-08 |
| LC Amendment | 2006-05-02 |
| ANNUAL REPORT | 2006-04-19 |
| ANNUAL REPORT | 2005-01-15 |
| ANNUAL REPORT | 2004-04-24 |
| REINSTATEMENT | 2003-12-12 |
| Florida Limited Liabilites | 2002-09-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
