| Entity Name: | SHAWN L. ZIMMERMAN, PHD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Sep 2008 (16 years ago) |
| Document Number: | L08000088393 |
| FEI/EIN Number | 43-2021828 |
| Address: | 549 N. WYMORE ROAD, SUITE 108, MAITLAND, FL 32751 |
| Mail Address: | 549 N. WYMORE ROAD, SUITE 108, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346502069 | 2012-06-08 | 2012-06-08 | 549 N WYMORE RD, SUITE 209, MAITLAND, FL, 327514203, US | 549 N WYMORE RD, SUITE 209, MAITLAND, FL, 327514203, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 407-580-6997 |
| Fax | 4076289437 |
Authorized person
| Name | DR. SHAWN LEE ZIMMERMAN |
| Role | OWNER |
| Phone | 4075806997 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH 9575 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PSYCHOLOGIST 2721 |
| State | CO |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN, SHAWN | Agent | 549 N. WYMORE ROAD, SUITE 108, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN, SHAWN | Manager | 1221 Wading Waters Cir, Winter Park, FL 32792 |
| Zimmerman, Joylin | Manager | 549 N. WYMORE ROAD, SUITE 108 MAITLAND, FL 32751 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000048957 | EFFECTIVE TOGETHER | ACTIVE | 2016-05-16 | 2026-12-31 | No data | 549 WYMORE ROAD, SUITE 108, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-24 | 549 N. WYMORE ROAD, SUITE 108, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-24 | 549 N. WYMORE ROAD, SUITE 108, MAITLAND, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-24 | 549 N. WYMORE ROAD, SUITE 108, MAITLAND, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
