| Entity Name: | PAULINA ROBALINO, LCSW LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Mar 2017 (8 years ago) |
| Document Number: | L17000049719 |
| FEI/EIN Number | 90-0824984 |
| Address: | 5435 Windbrush Drive, TAMPA, FL, 33625, US |
| Mail Address: | 5435 Windbrush Dr., TAMPA, FL, 33625, US |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679014690 | 2017-03-09 | 2017-03-09 | 13919 CARROLLWOOD VILLAGE RUN, TAMPA, FL, 336182746, US | 13919 CARROLLWOOD VILLAGE RUN, TAMPA, FL, 336182746, US | |||||||||||||||||||||||
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| Phone | +1 813-404-7216 |
Authorized person
| Name | PAULINA ROBALINO |
| Role | OWNER |
| Phone | 8134047216 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW8848 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015818700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBALINO PAULINA | Agent | 5435 Windbrush Drive, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| ROBALINO PAULINA | Manager | 5435 Windbrush Drive, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 5435 Windbrush Drive, TAMPA, FL 33625 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 5435 Windbrush Drive, TAMPA, FL 33625 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 5435 Windbrush Drive, TAMPA, FL 33625 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-12 |
| Florida Limited Liability | 2017-03-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
