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SOPHROSYNE FLORIDA LLC

Company Details

Entity Name: SOPHROSYNE FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Oct 2021 (3 years ago)
Document Number: L21000459146
FEI/EIN Number 87-3204468
Address: 200 Grand Blvd, STE 201, Miramar Beach, FL, 32550, US
Mail Address: 200 Grand Blvd, STE 201, Miramar Beach, FL, 32550, US
ZIP code: 32550
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104585710 2021-12-10 2021-12-10 1307 EAST COUNTY HWY 30A, STE 6A, SANTA ROSA BEACH, FL, 32459, US 1307 EAST COUNTY HWY 30A, STE 6A, SANTA ROSA BEACH, FL, 32459, US

Contacts

Phone +1 985-733-4867

Authorized person

Name DEVAN G SZCZEPANSKI
Role OWNER
Phone 9857334867

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
SUMMERSGILL SHANNON CPA Agent 31 OCEAN REEF DRIVE, KEY LARGO, FL, 33037

Manager

Name Role Address
SZCZEPANSKI DEVAN Manager 200 Grand Blvd, Miramar Beach, FL, 32550
Szczepanski Brett Manager 200 Grand Blvd, Miramar Beach, FL, 32550

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000014990 SOWELL 30A ACTIVE 2024-01-26 2029-12-31 No data 200 GRAND BLVD, MIRAMAR BEACH, FL, 32550

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-07-19 200 Grand Blvd, STE 201, Miramar Beach, FL 32550 No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-20 200 Grand Blvd, STE 201, Miramar Beach, FL 32550 No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
AMENDED ANNUAL REPORT 2023-07-19
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-04-06
Florida Limited Liability 2021-10-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State