| Entity Name: | MFE PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MFE PSYCHIATRY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 07 Jun 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Mar 2020 (5 years ago) |
| Document Number: | L18000141071 |
| FEI/EIN Number |
83-0888876
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13801 Bruce B Downs Blvd, Tampa, FL, 33613, US |
| Mail Address: | 13801 Bruce B Downs Blvd, Tampa, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285256040 | 2020-05-14 | 2024-10-16 | 13801 BRUCE B DOWNS BLVD STE 305, TAMPA, FL, 336133939, US | 13801 BRUCE B DOWNS BLVD STE 305, TAMPA, FL, 336133939, US | |||||||||||||||||
|
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| Phone | +1 352-519-2119 |
Authorized person
| Name | MARC ETTENSOHN |
| Role | CEO FOUNDER |
| Phone | 3525192119 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MFE PSYCHIATRY LLC 401(K) PLAN | 2023 | 830888876 | 2024-05-14 | MFE PSYCHIATRY LLC | 11 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-14 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-08-02 |
| Business code | 621112 |
| Sponsor’s telephone number | 3525192119 |
| Plan sponsor’s address | 410 EVERNIA ST, APT 613, WEST PALM BEACH, FL, 33401 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-08-02 |
| Business code | 621112 |
| Sponsor’s telephone number | 3525192119 |
| Plan sponsor’s address | 410 EVERNIA ST, APT 613, WEST PALM BEACH, FL, 33401 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-02 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ETTENSOHN MARC | Authorized Member | 13801 BRUCE B DOWNS BLVD, TAMPA, FL, 33613 |
| Marc Ettensohn | Agent | 13801 Bruce B Downs Blvd, Tampa, FL, 33613 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000101876 | CORNERSTONE PSYCHIATRIC CARE | ACTIVE | 2021-08-04 | 2026-12-31 | - | 410 EVERNIA ST, STE 613, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-05 | 13801 Bruce B Downs Blvd, ste 305, Tampa, FL 33613 | - |
| CHANGE OF MAILING ADDRESS | 2025-02-05 | 13801 Bruce B Downs Blvd, ste 305, Tampa, FL 33613 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-17 | 13801 Bruce B Downs Blvd, ste 305, Tampa, FL 33613 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-29 | 13801 Bruce B Downs Blvd, Tampa, FL 33613 | - |
| CHANGE OF MAILING ADDRESS | 2023-09-29 | 13801 Bruce B Downs Blvd, Tampa, FL 33613 | - |
| REGISTERED AGENT NAME CHANGED | 2020-03-09 | Marc Ettensohn | - |
| REINSTATEMENT | 2020-03-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-05-30 |
| REINSTATEMENT | 2020-03-09 |
| Florida Limited Liability | 2018-06-07 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
