| Entity Name: | CAMILLE BUSSOTTI,PH.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jun 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L12000075656 |
| FEI/EIN Number | 36-4736823 |
| Address: | 2147 SOUTH TAMIAMI TRAIL, SUITE 47, OSPREY, FL, 34229, US |
| Mail Address: | 2147 SOUTH TAMIAMI TRAIL, SUITE 47, OSPREY, FL, 34229, US |
| ZIP code: | 34229 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639427958 | 2012-08-16 | 2012-08-16 | 2175 S TAMIAMI TRL, SUITE 75, OSPREY, FL, 342299696, US | 2175 S TAMIAMI TRL, SUITE 75, OSPREY, FL, 342299696, US | |||||||||||||||||||
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| Phone | +1 941-350-2247 |
| Fax | 9419247707 |
Authorized person
| Name | DR. CAMILLE BUSSOTTI |
| Role | OWNER |
| Phone | 9413502247 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | L12000075656 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUSSOTTI CAMILLE | Agent | 2147 SOUTH TAMIAMI TRAIL, OSPREY, FL, 34229 |
| Name | Role | Address |
|---|---|---|
| BUSSOTTI CAMILLE | Managing Member | 2147 SOUTH TAMIAMI TRAIL, OSPREY, FL, 34229 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-16 | BUSSOTTI, CAMILLE | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-20 | 2147 SOUTH TAMIAMI TRAIL, SUITE 47, OSPREY, FL 34229 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-20 | 2147 SOUTH TAMIAMI TRAIL, SUITE 47, OSPREY, FL 34229 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-20 | 2147 SOUTH TAMIAMI TRAIL, STE 47, OSPREY, FL 34229 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-20 |
| ANNUAL REPORT | 2013-04-27 |
| Florida Limited Liability | 2012-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
