| Entity Name: | VOLUSIA PSYCHIATRY & TMS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Apr 2021 (4 years ago) |
| Document Number: | L21000200530 |
| FEI/EIN Number | 87-0879613 |
| Address: | 575 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 646 HILLS BLVD, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982276655 | 2021-07-13 | 2021-07-13 | 646 HILLS BLVD, PORT ORANGE, FL, 321272902, US | 575 N CLYDE MORRIS BLVD STE A, DAYTONA BEACH, FL, 321142323, US | |||||||||||||||||
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| Phone | +1 321-443-9924 |
| Fax | 8009304957 |
| Phone | +1 321-355-7377 |
Authorized person
| Name | RIAZ RAHMAN |
| Role | CEO |
| Phone | 3214439924 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAHMAN RIAZ | Agent | 646 HILLS BLVD, PORT ORANGE, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| RAHMAN RIAZ | Manager | 646 HILLS BLVD, PORT ORANGE, FL, 32127 |
| RIAZ NAGINA | Manager | 646 HILLS BLVD, PORT ORANGE, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 646 HILLS BLVD, PORT ORANGE, FL 32127 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-08 |
| Florida Limited Liability | 2021-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
