| Entity Name: | SHANNON CARAMIELLO, PSYD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Oct 2018 (6 years ago) |
| Document Number: | L18000235641 |
| FEI/EIN Number | 84-1837143 |
| Address: | 2611 Keystone Road, B3, Tarpon Springs, FL, 34688, US |
| Mail Address: | 2611 Keystone Road, B3, Tarpon Springs, FL, 34688, US |
| ZIP code: | 34688 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376104083 | 2019-06-24 | 2019-06-24 | 210 S PINELLAS AVE STE 245, TARPON SPRINGS, FL, 346893656, US | 210 S PINELLAS AVE STE 245, TARPON SPRINGS, FL, 346893656, US | |||||||||||||
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| Phone | +1 561-305-7834 |
Authorized person
| Name | SHANNON CARAMIELLO |
| Role | PSYCHOLOGICAL |
| Phone | 5613057834 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARAMIELLO SHANNON R | Agent | 2611 Keystone Road, Tarpon Springs, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| Caramiello Shannon | Ownd | Suite B3, Tarpon Springs, FL, 34688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-20 | 2611 Keystone Road, B3, Tarpon Springs, FL 34688 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-20 | 2611 Keystone Road, B3, Tarpon Springs, FL 34688 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-20 | 2611 Keystone Road, B3, Tarpon Springs, FL 34688 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-09-20 |
| Florida Limited Liability | 2018-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
