| Entity Name: | FLORIDA CENTER FOR TMS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jun 2017 (8 years ago) |
| Document Number: | L17000130389 |
| FEI/EIN Number | 82-1998990 |
| Address: | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL, 32086, US |
| Mail Address: | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497278584 | 2017-07-20 | 2017-07-20 | 17 ZAMORA ST, SAINT AUGUSTINE, FL, 320842983, US | 811 STATE ROAD 206 E STE 1, SAINT AUGUSTINE, FL, 320864869, US | |||||||||||||||||
|
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| Phone | +1 352-339-3064 |
Authorized person
| Name | DR. HEATHER LUING |
| Role | MGR |
| Phone | 3523393064 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME95498 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Broder Todd | Agent | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| BRODER TODD | Manager | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-14 | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-14 | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-14 | 17 St Johns Medical Park Dr, ST AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-05 | Broder, Todd | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-24 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-19 |
| ANNUAL REPORT | 2018-01-05 |
| Florida Limited Liability | 2017-06-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
