| Entity Name: | CENTER FOR NEUROPSYCHIATRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L12000010199 |
| Address: | 8225 STATE ROAD 54, NEW PORT RICHEY, FL, 34655 |
| Mail Address: | 8225 STATE ROAD 54, NEW PORT RICHEY, FL, 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225300833 | 2012-01-30 | 2012-01-30 | 8225 STATE ROAD 54, NEW PORT RICHEY, FL, 346553016, US | 8225 STATE ROAD 54, NEW PORT RICHEY, FL, 346553016, US | |||||||||||||||||
|
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| Phone | +1 309-310-4399 |
Authorized person
| Name | GNANESWARA V MIDATHALA |
| Role | PHYSICIAN/MEMBER |
| Phone | 3093104399 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME109325 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIDATHALA GNANESWARA V | Agent | 15608 BLUE STAR CT, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| MIDATHALA GNANESWARA V | Managing Member | 15608 BLUE STAR CT, ODESSA, FL, 33556 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2012-01-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
