| Entity Name: | DR. ANN HUYNH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Mar 2015 (10 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: | L15000058057 |
| FEI/EIN Number | 47-3460318 |
| Address: | 3035 SW 27TH AVE, OCALA, FL, 34471 |
| Mail Address: | 3035 SW 27TH AVE, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538553615 | 2015-03-26 | 2015-03-26 | 3035 SW 27TH AVE, OCALA, FL, 344718982, US | 3035 SW 27TH AVE, OCALA, FL, 344710105, US | |||||||||||||||||||||||
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| Phone | +1 808-728-2680 |
Authorized person
| Name | DR. ANN LAN HUYNH |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 8087282680 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9028 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013560800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE RETINA CENTER PA | Agent | 6400 W NEWBERRY RD STE 301, GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| HUYNH ANN | Authorized Member | 3035 SW 27TH AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-07-31 |
| Florida Limited Liability | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
