| Entity Name: | TOTAL MIND SOLUTIONS OF FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Nov 2020 (4 years ago) |
| Document Number: | L20000354799 |
| FEI/EIN Number | 85-3956482 |
| Address: | 4745 OLD HWY 37, SUITE 1, LAKELAND, FL, 33813, UN |
| Mail Address: | 4745 OLD HWY 37, SUITE 1, LAKELAND, FL, 33813, UN |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962005900 | 2020-11-20 | 2020-11-20 | 4745 OLD HIGHWAY 37 STE 1, LAKELAND, FL, 338132031, US | 4745 OLD HIGHWAY 37 STE 1, LAKELAND, FL, 338132031, US | |||||||||||||||||
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| Phone | +1 863-333-0550 |
| Fax | 8633330550 |
| Phone | +1 863-860-0531 |
Authorized person
| Name | JULIA M BORUM |
| Role | OWNER |
| Phone | 8638600531 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BORUM JULIA M | Agent | 4745 OLD HWY 37, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| BORUM JULIA M | Manager | 4745 OLD HWY 37, SUITE 1, LAKELAND, FL, 33813 |
| BORUM JEROME P | Manager | 4745 OLD HWY 37, SUITE 1, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| BORUM BENJAMIN | Authorized Representative | 425 ARCHAIC DR, WINTER HAVEN, FL, 33880 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-01-29 |
| Florida Limited Liability | 2020-11-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
