| Entity Name: | ICARE PSYCHIATRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Apr 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 06 Oct 2023 (a year ago) |
| Document Number: | L23000182949 |
| FEI/EIN Number | 92-3532893 |
| Address: | 8350 NW 52ND TERRACE, SUITE 301, DORAL, FL 33166-7708 |
| Mail Address: | 11013 SW 167TH ST, MIAMI, FL 33157 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497591697 | 2024-07-08 | 2024-07-08 | 8350 NW 52ND TER STE 301, DORAL, FL, 331667708, US | 11013 SW 167TH ST, MIAMI, FL, 331572851, US | |||||||||||||||
|
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| Phone | +1 786-325-7643 |
| Phone | +1 786-348-5164 |
Authorized person
| Name | ROBERT TANG BAU |
| Role | OWNER |
| Phone | 7863257643 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TANG BAU, ROBERT | Agent | 8350 NW 52ND TERRACE, SUITE 301, DORAL, FL 33166 |
| Name | Role | Address |
|---|---|---|
| TANG BAU, ROBERT | Authorized Member | 8350 NW 52ND TERRACE SUITE 301, DORAL, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-10-06 | ICARE PSYCHIATRY, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-09 |
| ANNUAL REPORT | 2024-02-09 |
| LC Name Change | 2023-10-06 |
| Florida Limited Liability | 2023-04-13 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
