| Entity Name: | OAKBROOK PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 30 Aug 2011 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000099671 |
| FEI/EIN Number | 45-3124917 |
| Mail Address: | 4004 SW 180TH STREET, NEWBERRY, FL 32669 |
| Address: | 1111 NE 25TH AVENUE, SUITE #504, OCALA, FL 34470 |
| ZIP code: | 34470 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962773549 | 2012-01-13 | 2012-01-13 | 1111 NE 25TH AVE, SUITE 504, OCALA, FL, 344705675, US | 1111 NE 25TH AVE, SUITE 504, OCALA, FL, 344705675, US | |||||||||||||||||
|
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| Phone | +1 352-351-2889 |
Authorized person
| Name | PAMELA CARROLL |
| Role | ARNP |
| Phone | 3523512889 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP283112 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STOCKMAN, JAMES J | Agent | 20725 SW 46TH AVENUE, NEWBERRY, FL 32669 |
| Name | Role | Address |
|---|---|---|
| CARROLL, PAMELA L | Managing Member | 4004 SW 180TH STREET, NEWBERRY, FL 32669 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2015-10-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-23 | STOCKMAN, JAMES J | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-08 | 1111 NE 25TH AVENUE, SUITE #504, OCALA, FL 34470 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-14 |
| REINSTATEMENT | 2015-10-23 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-01-16 |
| ANNUAL REPORT | 2012-02-08 |
| Florida Limited Liability | 2011-08-30 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
