| Entity Name: | MY FAMILY PSYCHIATRIST, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 2022 (3 years ago) |
| Document Number: | L22000093646 |
| FEI/EIN Number | 88-1072875 |
| Address: | 3081 SALZEDO ST, SUITE #202-P, MIAMI, FL, 33134 |
| Mail Address: | 3081 SALZEDO ST, SUITE #202-P, MIAMI, FL, 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316694516 | 2022-03-07 | 2022-03-07 | 3081 SALZEDO ST STE 202-P, CORAL GABLES, FL, 331346722, US | 3081 SALZEDO ST STE 202-P, CORAL GABLES, FL, 331346722, US | |||||||||||||||||
|
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| Phone | +1 786-373-8359 |
Authorized person
| Name | DR. JONATHAN MATTHEW PARKER |
| Role | PSYCHIATRIST |
| Phone | 7863738359 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARKER JONATHAN M | Agent | 3081 SALZEDO ST, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| PARKER JONATHAN M | Manager | 3081 SALZEDO ST, SUITE #202-P, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| PARKER JONATHAN M | Authorized Member | 3081 SALZEDO ST, SUITE #202-P, MIAMI, FL, 33134 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-04-19 |
| Florida Limited Liability | 2022-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
