Entity Name: | FHL PSYCHIATRIC SERVICES, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 11 Aug 2015 (10 years ago) |
Date of dissolution: | 19 Aug 2019 (5 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 19 Aug 2019 (5 years ago) |
Document Number: | L15000136873 |
FEI/EIN Number | 47-4818579 |
Address: | 15151 S. HWY. 441, UNIT 300, SUMMERFIELD, FL, 34491 |
Mail Address: | 2675 Cedar Crest Drive, Apopka, FL, 32712, US |
ZIP code: | 34491 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245698463 | 2016-02-02 | 2016-02-02 | 2675 CEDAR CREST DR, APOPKA, FL, 327125019, US | 15151 S US HIGHWAY 441, UNIT 300, SUMMERFIELD, FL, 344914482, US | |||||||||||||||||||
|
Phone | +1 407-280-4890 |
Fax | 8885673781 |
Authorized person
Name | CARLES SICARD |
Role | CHIEF EXECUTIVE OFFICER |
Phone | 4103224575 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
License Number | ME118567 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SICARD CARLES W | Agent | 2675 CEDAR CREST DRIVE, APOPKA, FL, 32712 |
Name | Role | Address |
---|---|---|
SICARD CARLES W | Authorized Member | 15151 S. HWY. 441, UNIT 300, SUMMERFIELD, FL, 34491 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-08-19 | No data | No data |
CHANGE OF MAILING ADDRESS | 2016-04-21 | 15151 S. HWY. 441, UNIT 300, SUMMERFIELD, FL 34491 | No data |
LC AMENDMENT | 2015-09-17 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2019-08-19 |
ANNUAL REPORT | 2018-05-04 |
ANNUAL REPORT | 2017-04-14 |
ANNUAL REPORT | 2016-04-21 |
LC Amendment | 2015-09-17 |
Florida Limited Liability | 2015-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State