| Entity Name: | SEAGLASS PSYCHIATRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jun 2022 (3 years ago) |
| Document Number: | L22000275357 |
| FEI/EIN Number | 88-2748002 |
| Address: | 5220 Hood Road, Unit 101, SUITE 302B, PALM BCH GDNS, FL 33418 |
| Mail Address: | 2475 San Pietro Circle, Palm Beach Gardens, FL 33410 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053034462 | 2022-09-21 | 2022-09-21 | 345 JUPITER LAKES BLVD STE 302B, JUPITER, FL, 334587100, US | 345 JUPITER LAKES BLVD STE 302B, JUPITER, FL, 334587100, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 772-202-6878 |
| Fax | 3342322473 |
Authorized person
| Name | DR. DANIELLE GUINAN |
| Role | OWNER/SOLE MEMBER |
| Phone | 7722026878 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GUINAN, DANIELLE | Agent | 2475 San Pietro Circle, Plm Beach Gardens, FL 33410 |
| Name | Role | Address |
|---|---|---|
| GUINAN, DANIELLE | Manager | 2475 San Pietro Circle, Palm Beach Gardens, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-02 | 5220 Hood Road, Unit 101, SUITE 302B, PALM BCH GDNS, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-02 | 5220 Hood Road, Unit 101, SUITE 302B, PALM BCH GDNS, FL 33418 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-02 | 2475 San Pietro Circle, Plm Beach Gardens, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-01-06 |
| Florida Limited Liability | 2022-06-16 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
