| Entity Name: | GAVIN PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 May 2021 (4 years ago) |
| Document Number: | L21000227736 |
| FEI/EIN Number | 26-4740366 |
| Address: | 8201 Peters Road, 1000, Plantation, FL 33324 |
| Mail Address: | 8201 Peters Road, 1000, Plantation, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497371843 | 2020-06-22 | 2021-07-19 | 110 E BROWARD BLVD STE 1700, FORT LAUDERDALE, FL, 333013500, US | 110 EAST BROWARD BLVD., SUITE 1700, FORT LAUDERDALE, FL, 33301, US | |||||||||||||
|
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| Phone | +1 224-269-2200 |
Authorized person
| Name | DR. DAVID PETER GAVIN |
| Role | MEMBER |
| Phone | 2242692200 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAVIN, DAVID P | Agent | 8201 Peters Road, 1000, Plantation, FL 33324 |
| Name | Role | Address |
|---|---|---|
| GAVIN, DAVID P | Manager | 8201 Peters Road, 1000 Plantation, FL 33324 |
| GAVIN, MICHELLE | Manager | 8201 Peters Road, 1000 Plantation, FL 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 8201 Peters Road, 1000, Plantation, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-24 | 8201 Peters Road, 1000, Plantation, FL 33324 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 8201 Peters Road, 1000, Plantation, FL 33324 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-24 |
| Florida Limited Liability | 2021-05-17 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
