| Entity Name: | KRISTIN M. PHILLIPS, PH.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Mar 2022 (3 years ago) |
| Document Number: | L22000150077 |
| FEI/EIN Number | 88-1697760 |
| Address: | 8517 Parrots Landing Dr., TAMPA, FL 33647 |
| Mail Address: | PO Box 47895, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114669033 | 2022-04-11 | 2022-04-11 | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 336132612, US | 14448 BRUCE B DOWNS BLVD, TAMPA, FL, 336132612, US | |||||||||||||||
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| Phone | +1 813-701-2471 |
| Fax | 8137012471 |
Authorized person
| Name | DR. KRISTIN M. PHILLIPS |
| Role | MANAGER |
| Phone | 8137012471 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, KRISTIN M | Agent | 8517 Parrots Landing Dr., TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, KRISTIN M | Manager | 8517 Parrots Landing Dr., TAMPA, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-06-01 | 8517 Parrots Landing Dr., TAMPA, FL 33647 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-05 | 8517 Parrots Landing Dr., TAMPA, FL 33647 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-05 | PHILLIPS, KRISTIN M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-05 | 8517 Parrots Landing Dr., TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| AMENDED ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2023-03-03 |
| Florida Limited Liability | 2022-03-28 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
