| Entity Name: | SOUTH TAMPA PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Dec 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Oct 2018 (6 years ago) |
| Document Number: | L17000256841 |
| FEI/EIN Number | 83-0622257 |
| Address: | 2919 W. SWANN AVE, SUITE 104, TAMPA, FL, 33609, US |
| Mail Address: | 2522 W. KENNEDY BLVD., TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730652645 | 2019-01-03 | 2019-01-03 | 2919 W SWANN AVE STE 104, TAMPA, FL, 336094049, US | 2919 W SWANN AVE STE 104, TAMPA, FL, 336094049, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-600-7929 |
Authorized person
| Name | ELIZABETH HARDEN |
| Role | CEO / CLINICAL SUPERVISOR |
| Phone | 8136007929 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARDEN ELIZABETH S | Agent | 2522 W. KENNEDY BLVD, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| HARDEN JOHN R | Manager | 2522 W. KENNEDY BLVD., TAMPA, FL, 33609 |
| HARDEN ELIZABETH S | Manager | 2522 W. KENNEDY BLVD., TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-15 | HARDEN, ELIZABETH S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-14 |
| REINSTATEMENT | 2018-10-15 |
| Florida Limited Liability | 2017-12-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
