| Entity Name: | DAVID CARTER, PSY.D, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2004 (21 years ago) |
| Document Number: | L04000042056 |
| FEI/EIN Number | 861107508 |
| Address: | 1133 LOUISIANA AVENUE, SUITE 206, WINTER PARK, FL, 32789 |
| Mail Address: | 1133 LOUISIANA AVENUE, SUITE 206, WINTER PARK, FL, 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013105329 | 2007-10-11 | 2007-10-11 | 1133 LOUISIANA AVE, SUITE 206, WINTER PARK, FL, 327892350, US | 1133 LOUISIANA AVE, SUITE 206, WINTER PARK, FL, 327892350, US | |||||||||||||||||||||||
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| Phone | +1 407-629-1000 |
Authorized person
| Name | DAVID JOHN CARTER |
| Role | OWNER/PSYCHOLOGIST |
| Phone | 4076291000 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY5836 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS OF FLORIDA |
| Number | 54408 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FREY JULIA L | Agent | 215 N. EOLA DRIVE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| CARTER DAVID J | Managing Member | 1151 MAYFIELD AVE, WINTER PARK, FL, 32789 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-21 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
