| Entity Name: | ISRA SALEH-MOHD, PSY.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Oct 2007 (17 years ago) |
| Document Number: | L07000102852 |
| FEI/EIN Number | 331184058 |
| Address: | 1345 Oakfield Drive, BRANDON, FL, 33511, US |
| Mail Address: | 1345 Oakfield Drive, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659784775 | 2014-06-05 | 2014-06-05 | 1327 GARDEN STONE LN, BRANDON, FL, 335102654, US | 411 LITHIA PINECREST RD, BRANDON, FL, 335116138, US | |||||||||||||||||
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| Phone | +1 813-541-3372 |
Authorized person
| Name | DR. ISRA SALEH-MOHD |
| Role | OWNER |
| Phone | 8135413372 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY7588 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALEH-MOHD ISRA | Agent | 1345 Oakfield Drive, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| SALEH-MOHD ISRA | Managing Member | 1345 Oakfield Drive, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-15 | 1345 Oakfield Drive, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-15 | 1345 Oakfield Drive, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-15 | 1345 Oakfield Drive, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-02-26 |
| ANNUAL REPORT | 2016-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
