| Entity Name: | PSYCHIATRY ASSOCIATES OF TALLAHASSEE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Feb 2018 (7 years ago) |
| Document Number: | L18000038863 |
| FEI/EIN Number | 82-4428490 |
| Address: | 1407 M D LANE, SUITE A, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1407 M D LANE, SUITE A, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013417187 | 2018-02-15 | 2018-02-15 | 1407 M D LN STE A, TALLAHASSEE, FL, 323085349, US | 1407 M D LN STE A, TALLAHASSEE, FL, 323085349, US | |||||||||||||||||||||||
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| Phone | +1 850-877-0635 |
| Fax | 8502050195 |
Authorized person
| Name | MRS. PAULINE SABITSCH |
| Role | PRACTICE MANAGER |
| Phone | 8508770635 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| PSYCH. MANAGEMENT SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MUNASIFI FAISAL AMD | Manager | 1407 M D LANE, STE A, TALLAHASSEE, FL, 32308 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-01-17 |
| Florida Limited Liability | 2018-02-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
