| Entity Name: | PRACTICAL PSYCHIATRIC SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Oct 2022 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Jul 2023 (2 years ago) |
| Document Number: | L22000464944 |
| FEI/EIN Number | 88-4245161 |
| Address: | 15985 PRESERVE MARKETPLACE BLVD #246, ODESSA, FL, 33556, US |
| Mail Address: | 15985 PRESERVE MARKETPLACE BLVD #246, ODESSA, FL, 33556, US |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568151926 | 2023-05-02 | 2024-10-09 | 15985 PRESERVE MARKETPLACE BLVD, #246, ODESSA, FL, 33556, US | 3634 BENERAID STREET, LAND O LAKES, FL, 34638, US | |||||||||||||||||
|
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| Phone | +1 813-616-1663 |
| Fax | 7276770940 |
| Phone | +1 727-637-9518 |
Authorized person
| Name | DR. ANNETTE J DEUTSCHER |
| Role | MD |
| Phone | 8136161663 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FANTAUZZI ANTHONY | Agent | 1814 N. 15TH STREET, TAMPA, FL, 33605 |
| Name | Role | Address |
|---|---|---|
| DEUTSCHER ANNETTE J | Manager | 3004 GIANNA WAY, LAND O LAKES, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-18 | 15985 PRESERVE MARKETPLACE BLVD #246, ODESSA, FL 33556 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-18 | 15985 PRESERVE MARKETPLACE BLVD #246, ODESSA, FL 33556 | No data |
| LC AMENDMENT | 2023-07-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-20 |
| LC Amendment | 2023-07-21 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-10-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
