| Entity Name: | TIGERSPRING PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Feb 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000101054 |
| Address: | 1025 BEAL PARKWAY NW, FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 2570 PALM SHORES DR, SHALIMAR, FL, 32579 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669126280 | 2022-02-11 | 2022-02-11 | 2570 PALM SHORES DR, SHALIMAR, FL, 325791270, US | 1025 BEAL PKWY NW, FORT WALTON BEACH, FL, 325471446, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 440-364-8482 |
Authorized person
| Name | DR. BRITTANY C WILLIAMS |
| Role | OWNER |
| Phone | 4403648482 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 08258 |
| State | OH |
| Name | Role | Address |
|---|---|---|
| WILLIAMS BRITTANY | Agent | 2570 PALM SHORES DR, SHALIMAR, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS BRITTANY | Manager | 2570 PALM SHORES DR, SHALIMAR, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
