| Entity Name: | PSYCHIATRIC CARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Apr 2009 (16 years ago) |
| Date of dissolution: | 03 Feb 2017 (8 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Feb 2017 (8 years ago) |
| Document Number: | L09000037906 |
| FEI/EIN Number | 264699664 |
| Address: | 342 E BLOOMINGDALE AVE, BRANDON, FL, 33511, US |
| Mail Address: | 342 E BLOOMINGDALE AVE, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982847083 | 2009-04-20 | 2009-04-20 | 342 E BLOOMINGDALE AVE, BRANDON, FL, 335118155, US | 342 E BLOOMINGDALE AVE, BRANDON, FL, 335118155, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-657-7546 |
Authorized person
| Name | CHARLES D DEVINE |
| Role | PRESIDENT |
| Phone | 8136577546 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0072537 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHARLES DEVINE D | Agent | 342 E BLOOMINGDALE AVE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| KATHLEEN M. CARROLL, M.D., P.A. | Managing Member | No data |
| CHARLES D. DEVINE, M.D., P.A. | Managing Member | 342 E BLOOMINGDALE AVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2017-02-03 | No data | No data |
| LC AMENDMENT | 2009-05-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-21 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-03-30 |
| ANNUAL REPORT | 2013-02-15 |
| ANNUAL REPORT | 2012-02-19 |
| ANNUAL REPORT | 2011-03-12 |
| ANNUAL REPORT | 2010-04-06 |
| LC Amendment | 2009-05-20 |
| Florida Limited Liability | 2009-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
