| Entity Name: | ATLANTIC PSYCHIATRIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2007 (18 years ago) |
| Document Number: | L07000001134 |
| FEI/EIN Number | 208130616 |
| Address: | 719 BEVILLE RD, SOUTH DAYTONA, FL, 32119 |
| Mail Address: | PO BOX 290065, PORT ORANGE, FL, 32129 |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306971130 | 2007-02-22 | 2020-08-22 | PO BOX 290849, PORT ORANGE, FL, 321290849, US | 719 BEVILLE RD, SOUTH DAYTONA, FL, 321191823, US | |||||||||||||||||||
|
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| Phone | +1 386-304-3444 |
| Fax | 3863043403 |
Authorized person
| Name | MRS. SANDI D WIDMAIER |
| Role | OFFICE MANAGER |
| Phone | 3863043444 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME56967 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WINTERS WILLIAM C | Agent | 719 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| WINTERS WILLIAM C | Managing Member | PO BOX 290065, PORT ORANGE, FL, 32129 |
| WINTERS SHARON K | Managing Member | PO BOX 290065, PORT ORANGE, FL, 32129 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000023009 | WINTERS FAMILY PSYCHIATRY | ACTIVE | 2014-03-05 | 2029-12-31 | No data | PO BOX 290065, PORT ORANGE, FL, 32129 |
| G08011900306 | WINTERS FAMILY PSYCHIATRY | EXPIRED | 2008-01-11 | 2013-12-31 | No data | PO BOX 290065, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-25 | 719 BEVILLE ROAD, SOUTH DAYTONA, FL 32119 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-28 | WINTERS, WILLIAM C | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-29 | 719 BEVILLE RD, SOUTH DAYTONA, FL 32119 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-29 | 719 BEVILLE RD, SOUTH DAYTONA, FL 32119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
