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EVOLVING MIND PSYCHIATRY LLC - Florida Company Profile

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Company Details

Entity Name: EVOLVING MIND PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Mar 2022 (3 years ago)
Document Number: L22000108264
FEI/EIN Number 88-1331163
Address: 110 West Polk St, Suite b, Auburndale, FL, 33823, US
Mail Address: 110 West Polk St, Suite B, Auburndale, FL, 33823, US
ZIP code: 33823
City: Auburndale
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Floyd Jason Manager 4268 Stafford Drive,, Winter Haven, FL, 33880

National Provider Identifier

NPI Number:
1942929633
Certification Date:
2022-08-25

Authorized Person:

Name:
JASON FLOYD
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-31 7901 4th St N, STE 300, St. Petersburg, FL 33702 -
CHANGE OF PRINCIPAL ADDRESS 2025-01-31 110 West Polk St, Suite b, Auburndale, FL 33823 -
CHANGE OF MAILING ADDRESS 2025-01-31 110 West Polk St, Suite b, Auburndale, FL 33823 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-05 7901 4th St N, STE 300, St. Petersburg, FL 33702 -
CHANGE OF MAILING ADDRESS 2024-02-05 7901 4th St N, STE 300, St. Petersburg, FL 33702 -
CHANGE OF PRINCIPAL ADDRESS 2024-02-05 7901 4th St N, STE 300, St. Petersburg, FL 33702 -
REGISTERED AGENT NAME CHANGED 2023-02-10 Registered Agents Inc -

Documents

Name Date
ANNUAL REPORT 2025-01-31
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-10
Florida Limited Liability 2022-03-02

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Date of last update: 02 Jul 2025

Sources: Florida Department of State