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TYLER HERNANDEZ PSYD LLC

Company Details

Entity Name: TYLER HERNANDEZ PSYD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Aug 2018 (7 years ago)
Document Number: L18000199901
FEI/EIN Number 83-1678000
Address: 1650 NE 26TH ST, Suite 201, WILTON MANORS, FL 33305
Mail Address: 1650 NE 26TH ST, Suite 201, WILTON MANORS, FL 33305
ZIP code: 33305
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245984483 2022-02-07 2022-10-11 480 LILY LN, DAVENPORT, FL, 338372708, US 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 333051431, US

Contacts

Phone +1 754-246-8716
Phone +1 954-546-2440

Authorized person

Name TYLER E HERNANDEZ
Role OWNER
Phone 7542468716

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
Hernandez, Tyler Agent 1650 NE 26TH ST, Suite 201, WILTON MANORS, FL 33305

Authorized Member

Name Role Address
HERNANDEZ, TYLER Authorized Member 1650 NE 26TH ST, Suite 201 WILTON MANORS, FL 33305

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-01-22 1650 NE 26TH ST, Suite 201, WILTON MANORS, FL 33305 No data
CHANGE OF MAILING ADDRESS 2022-10-11 1650 NE 26TH ST, Suite 201, WILTON MANORS, FL 33305 No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-24 1650 NE 26TH ST, Suite 201, WILTON MANORS, FL 33305 No data
REGISTERED AGENT NAME CHANGED 2019-03-20 Hernandez, Tyler No data

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-01-03
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-03-20
Florida Limited Liability 2018-08-21

Date of last update: 17 Feb 2025

Sources: Florida Department of State