| Entity Name: | DR. CONSTANCE DELGIUDICE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Dec 2012 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Dec 2015 (9 years ago) |
| Document Number: | L12000161802 |
| FEI/EIN Number | 46-1659233 |
| Address: | 2440 SE FEDERAL HIGHWAY, STUART, FL, 34994, US |
| Mail Address: | 2440 SE FEDERAL HIGHWAY, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902149719 | 2013-03-29 | 2013-03-29 | 2440 SE FEDERAL HWY, STUART, FL, 349944531, US | 2440 SE FEDERAL HWY, STUART, FL, 349944531, US | |||||||||||||||||||||||||
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| Phone | +1 772-631-6138 |
| Fax | 7722213192 |
Authorized person
| Name | DR. CONSTANCE A DELGIUDICE |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 7726316138 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9049 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001414800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DelGiudice Constance | Agent | 3457 SW Pindo Palm Lane, Palm City, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| DELGIUDICE CONSTANCE | Managing Member | 2440 SE FEDERAL HIGHWAY, STUART, FL, 34994 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000116826 | CREATIVELY BY CONSTANCE DELGIUDICE | ACTIVE | 2021-09-11 | 2026-12-31 | No data | 2440 SE FEDERAL HIGHWAY, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-01-27 | DelGiudice, Constance | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-27 | 3457 SW Pindo Palm Lane, Palm City, FL 34990 | No data |
| REINSTATEMENT | 2015-12-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-27 |
| Reinstatement | 2015-12-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
