| Entity Name: | TIDEWATER TOTAL MIND CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2022 (3 years ago) |
| Document Number: | L22000117715 |
| FEI/EIN Number | 88-1382337 |
| Address: | 2650 BAHIA VISTA ST, SARASOTA, FL, 34239, US |
| Mail Address: | 2650 BAHIA VISTA ST, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457097032 | 2022-05-06 | 2024-08-12 | 2650 BAHIA VISTA ST STE 204, SARASOTA, FL, 342392625, US | 2650 BAHIA VISTA ST STE 204, SARASOTA, FL, 342392625, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 941-202-1999 |
| Fax | 9412022009 |
Authorized person
| Name | DR. STEVEN STEIN |
| Role | PRACTICE OWNER |
| Phone | 8132999439 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAY JIM | Agent | 3984 MANATEE AVE E, BRADENTON, FL, 34208 |
| Name | Role | Address |
|---|---|---|
| STEIN STEVEN | Managing Member | 1601 RIDGEWOOD LANE, SARASOTA, FL, 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-28 | 2650 BAHIA VISTA ST, STE 204, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-28 | 2650 BAHIA VISTA ST, STE 204, SARASOTA, FL 34239 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-03 |
| Florida Limited Liability | 2022-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
