| Entity Name: | EXCEL PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXCEL PSYCHIATRY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Oct 2021 (3 years ago) |
| Document Number: | L21000455166 |
| FEI/EIN Number |
87-3189403
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1002 S. Dillard St., Suite 110, Winter Gardem, FL, 34787, US |
| Mail Address: | 1002 S. Dillard St., Suite 110, Winter Gardem, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841950797 | 2021-12-20 | 2021-12-20 | 9100 CONROY WINDERMERE RD STE 200, WINDERMERE, FL, 347868431, US | 9100 CONROY WINDERMERE RD STE 200, WINDERMERE, FL, 347868431, US | |||||||||||||||
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| Phone | +1 407-395-2042 |
| Fax | 8888093227 |
Authorized person
| Name | SARAH BLIZZARD |
| Role | NP AND OWNER |
| Phone | 4075062575 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLIZZARD SARAH | Manager | 546 EGRET PLACE DR., WINTER GARDEN, FL, 34787 |
| Kipp Wendy | Agent | 546 EGRET PLACE DR., WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-25 | 1002 S. Dillard St., Suite 110, Winter Gardem, FL 34787 | - |
| CHANGE OF MAILING ADDRESS | 2024-01-25 | 1002 S. Dillard St., Suite 110, Winter Gardem, FL 34787 | - |
| REGISTERED AGENT NAME CHANGED | 2024-01-25 | Kipp, Wendy | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-29 |
| Florida Limited Liability | 2021-10-19 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
