| Entity Name: | SKYLINE PSYCHIATRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2023 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Feb 2023 (2 years ago) |
| Document Number: | L23000080530 |
| FEI/EIN Number | 92-2462583 |
| Address: | 9555 SW 175th Terrace PMB #629, Palmetto Bay, FL, 33157, US |
| Mail Address: | 9555 SW 175th Terrace PMB #629, Palmetto Bay, FL, 33157, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982303210 | 2023-02-24 | 2024-10-01 | 128 W PAIGE WYND DR, ANGIER, NC, 275016141, US | 9555 SW 175TH TER, PMB #629, PALMETTO BAY, FL, 33157, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-209-4373 |
Authorized person
| Name | REBECA SANCHEZ |
| Role | OWNER |
| Phone | 3052094373 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENT INC | Agent | 7901 4TH ST N STE 3000, ST PETERBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ REBECA | Manager | 7901 4TH ST N STE 3000, ST PETERBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| MOREJON CARLOS E | Authorized Member | 7901 4TH ST N STE 3000, ST PETERBURG, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-11 | 9555 SW 175th Terrace PMB #629, Palmetto Bay, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-11 | 9555 SW 175th Terrace PMB #629, Palmetto Bay, FL 33157 | No data |
| AMENDMENT | 2023-02-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Amendment | 2023-02-28 |
| Florida Limited Liability | 2023-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
