| Entity Name: | STARFISH PSYCHIATRIC SERVICES, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
STARFISH PSYCHIATRIC SERVICES, PL is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 23 Jan 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L06000007434 |
| FEI/EIN Number |
061767066
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 137 Crystal Beach Dr, DESTIN, FL, 32541, US |
| Mail Address: | PO BOX 1648, Destin, FL, 32540, US |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396834024 | 2006-10-12 | 2020-08-22 | PO BOX 879, FORT WALTON BEACH, FL, 325490879, US | 68 BEAL PKWY SW, FORT WALTON BEACH, FL, 325485331, US | |||||||||||||||||||||||||
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| Phone | +1 850-243-7035 |
| Fax | 8502438529 |
Authorized person
| Name | MRS. CHARINA E PEREZ |
| Role | OFFICE MANAGER |
| Phone | 8502437035 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | OS 8859 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | 71705 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MELAZZO DIANA | Manager | PO BOX 1648, Destin, FL, 32540 |
| Goldberg Eric | Agent | 137 Crystal Beach Dr, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-08 | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL 32541 | - |
| CHANGE OF MAILING ADDRESS | 2018-03-08 | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL 32541 | - |
| REGISTERED AGENT NAME CHANGED | 2018-03-08 | Goldberg, Eric | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-08 | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL 32541 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-03-09 |
| ANNUAL REPORT | 2014-04-04 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-04-17 |
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-04-14 |
| ANNUAL REPORT | 2009-04-23 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
