| Entity Name: | PEACE OF MIND PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2021 (4 years ago) |
| Document Number: | L21000317165 |
| FEI/EIN Number | 87-1640106 |
| Address: | 9670 MEADOW WOOD LANE, NAVARRE, FL, 32566 |
| Mail Address: | 9670 MEADOW WOOD LANE, NAVARRE, FL, 32566 |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376268573 | 2022-10-10 | 2023-11-27 | 9670 MEADOW WOOD LN, NAVARRE, FL, 325662876, US | 1931 ORTEGA ST, NAVARRE, FL, 325664111, US | |||||||||||||||||||
|
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| Phone | +1 850-684-1410 |
| Fax | 8339890937 |
Authorized person
| Name | MRS. ANGELA SANDERS |
| Role | OWNER/NURSE PRACTITIONER |
| Phone | 8506841410 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANDERS Gilbert | Agent | 9670 MEADOW WOOD LANE, NAVARRE, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| SANDERS ANGELA | Owne | 9670 MEADOW WOOD LANE, NAVARRE, FL, 32566 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000005892 | SEASIDE WELLNESS OF NAVARRE | ACTIVE | 2023-01-12 | 2028-12-31 | No data | SEASIDE WELLNESS OF NAVARRE, 9670 MEADOW WOOD LANE, NAVARRE, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-07 | SANDERS, Gilbert | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-07 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-28 |
| Florida Limited Liability | 2021-07-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
