| Entity Name: | SOUL PSYCHIATRY - FAMILY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 May 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 May 2024 (9 months ago) |
| Document Number: | L21000249569 |
| FEI/EIN Number | 87-0914297 |
| Address: | 4865 Palm Coast Pkwy #4, Palm Coast, FL, 32137, US |
| Mail Address: | 240 CR 15, BUNNELL, FL, 32110, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871227645 | 2022-07-15 | 2022-07-15 | 533 N NOVA RD STE 203, ORMOND BEACH, FL, 321744422, US | 533 N NOVA RD STE 203, ORMOND BEACH, FL, 321744422, US | |||||||||||||||
|
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| Phone | +1 386-672-7175 |
| Fax | 3866720771 |
Authorized person
| Name | ARTHUR BROUSE |
| Role | PRESIDENT |
| Phone | 8013694544 |
Taxonomy
| Taxonomy Code | 2084P2900X - Pain Medicine (Psychiatry & Neurology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROUSE ARTHUR E | Agent | 240 CR 15, BUNNELL, FL, 32110 |
| Name | Role | Address |
|---|---|---|
| BROUSE ARTHUR E | Manager | 240 CR 15, BUNNELL, FL, 32110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-05-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-23 | 4865 Palm Coast Pkwy #4, Palm Coast, FL 32137 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-23 | BROUSE, ARTHUR E | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2022-11-07 | No data | No data |
| LC AMENDMENT | 2022-02-18 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-05-23 |
| LC Amendment | 2022-02-18 |
| ANNUAL REPORT | 2022-01-07 |
| Florida Limited Liability | 2021-05-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
