| Entity Name: | PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Sep 2013 (11 years ago) |
| Document Number: | L13000130224 |
| FEI/EIN Number | 46-3698798 |
| Address: | 3391 W. VINE ST, SUITE 303, KISSIMMEE, FL 34741 |
| Mail Address: | 3391 W. VINE ST, SUITE 303, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174951891 | 2013-10-15 | 2013-10-15 | 3389 W VINE ST, SUITE 304, KISSIMMEE, FL, 347414665, US | 3389 W VINE ST, SUITE 304, KISSIMMEE, FL, 347414665, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-962-7449 |
| Fax | 4075635491 |
Authorized person
| Name | AJITH KUMAR POTLURI |
| Role | OWNER |
| Phone | 4079627449 |
Taxonomy
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| License Number | ME 115004 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| License Number | ME 115004 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| SMALL BUSINESS ACCOUNTANTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| POTLURI, AJITH K, MD | President | 3391 W. VINE ST, Suite 303 KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| POTLURI, AJITH K, MD | Manager | 3391 W. VINE ST, Suite 303 KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| POTLURI, AJITH K, MD | Authorized Member | 3391 W. VINE ST, Suite 303 KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| POTLURI, AJITH K, MD | Authorized Representative | 3391 W. VINE ST, Suite 303 KISSIMMEE, FL 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-22 | 21400 Tree Park Court, Clermont, FL 34715 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-23 | 3391 W. VINE ST, SUITE 303, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-23 | 3391 W. VINE ST, SUITE 303, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-06-26 | Small Business Accountants, Inc. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-01-08 |
| ANNUAL REPORT | 2015-06-26 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
