| Entity Name: | ROSANA MARZULLO-DOVE PSYD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Mar 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 May 2019 (6 years ago) |
| Document Number: | L18000066630 |
| FEI/EIN Number | 82-4631793 |
| Address: | 900 W. PLATT ST., 202, TAMPA, FL 33606 |
| Mail Address: | 900 W Platt St, 202, TAMPA, FL 33606 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952960684 | 2019-06-06 | 2019-06-11 | 912 W PLATT ST STE 101, TAMPA, FL, 336062108, US | 912 W PLATT ST STE 101, TAMPA, FL, 336062108, US | |||||||||||||||||||||
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| Phone | +1 813-613-8587 |
Authorized person
| Name | DR. ROSANA MARZULLO-DOVE |
| Role | SOLE OWNER |
| Phone | 8136138587 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARZULLO-DOVE, ROSANA | Agent | 900 W. PLATT ST., # 202, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| MARZULLO-DOVE PSYD, ROSANA | Authorized Member | 900 W Platt St, # 202 TAMPA, FL 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000006977 | CORPPWELL | ACTIVE | 2023-01-17 | 2028-12-31 | No data | 900 W PLATT STREET, SUITE 202, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-12 | 900 W. PLATT ST., 202, TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-12 | 900 W. PLATT ST., 202, TAMPA, FL 33606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-12 | 900 W. PLATT ST., # 202, TAMPA, FL 33606 | No data |
| LC STMNT OF RA/RO CHG | 2019-05-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-15 | MARZULLO-DOVE, ROSANA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-01-13 |
| LC STMNT OF RA/RO CHG | 2019-05-15 |
| ANNUAL REPORT | 2019-03-04 |
| Florida Limited Liability | 2018-03-14 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
