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A AND R PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC

Company Details

Entity Name: A AND R PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Sep 2011 (13 years ago)
Document Number: L11000106800
FEI/EIN Number 32-0351959
Address: 550 N. Reo St., STE 300, TAMPA, FL 33609
Mail Address: 550 N. Reo St., STE 300, TAMPA, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306114301 2011-12-05 2011-12-05 2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL, 336076551, US 2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL, 336076551, US

Contacts

Phone +1 813-872-1525
Fax 8138775910

Authorized person

Name MR. JUSTIN M ROTH
Role OWNER
Phone 8138721525

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
ROTH, JUSTIN Agent 550 N. Reo St., STE 300, TAMPA, FL 33609

Managing Member

Name Role Address
ROTH, JUSTIN Managing Member 550 N. Reo St., STE 300 TAMPA, FL 33609

Manager

Name Role Address
ROTH, JENNIFER Manager 550 N. Reo St., STE 300 TAMPA, FL 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-03-22 550 N. Reo St., STE 300, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2013-03-22 550 N. Reo St., STE 300, TAMPA, FL 33609 No data
REGISTERED AGENT ADDRESS CHANGED 2013-03-22 550 N. Reo St., STE 300, TAMPA, FL 33609 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-02-13

Date of last update: 24 Jan 2025

Sources: Florida Department of State