| Entity Name: | SOUTHERN FLORIDA PSYCHIATRIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Sep 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Nov 2016 (8 years ago) |
| Document Number: | L16000173623 |
| FEI/EIN Number | 81-3966336 |
| Mail Address: | 1321 UPLAND DRIVE, STE 7672, HOUSTON, TX 77043 |
| Address: | 2349 SW CARY STREET, PORT ST LUCIE, FL 34984 |
| ZIP code: | 34984 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366042392 | 2020-10-28 | 2020-10-28 | 2340 SW POMA DR, PALM CITY, FL, 349906611, US | 2340 SW POMA DR, PALM CITY, FL, 349906611, US | |||||||||||||
|
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| Phone | +1 772-249-2569 |
Authorized person
| Name | JOSEPH MONASTRA |
| Role | COO |
| Phone | 5618125445 |
Taxonomy
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND ROAD, #250, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| PHOENIX BEHAVIORAL HEALTHCARE, LLC | Manager | 318 S US HWY 1, STE 200 JUPITER, FL 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-21 | 2349 SW CARY STREET, PORT ST LUCIE, FL 34984 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-21 | 2349 SW CARY STREET, PORT ST LUCIE, FL 34984 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-21 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-21 | 1200 S PINE ISLAND ROAD, #250, PLANTATION, FL 33324 | No data |
| LC AMENDMENT | 2016-11-17 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-21 |
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-02-02 |
| LC Amendment | 2016-11-17 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
