| Entity Name: | DAVIE PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 May 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Aug 2023 (2 years ago) |
| Document Number: | L23000229844 |
| FEI/EIN Number | 92-3955010 |
| Address: | 12555 ORANGE DRIVE, DAVIE, FL, 33330 |
| Mail Address: | 12555 ORANGE DRIVE, DAVIE, FL, 33330 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518718949 | 2024-04-01 | 2024-04-01 | 12555 ORANGE DR, DAVIE, FL, 333304304, US | 12555 ORANGE DR, DAVIE, FL, 333304304, US | |||||||||||||
|
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| Phone | +1 954-292-9905 |
Authorized person
| Name | ADARA ABDALAH |
| Role | OWNER |
| Phone | 9542929905 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ABDALAH ADARA PMHNP | Agent | 12555 ORANGE DRIVE, DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| FARINAS JAVIER | Authorized Person | 8422 SW 44TH PLAVCE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| ABDALAH ADARA | Manager | 8422 S.W. 44TH PLACE, DAVIE, FL, 33328 |
| FARINAS JAVIER | Manager | 8422 S.W. 44TH PLACE, DAVIE, FL, 33328 |
| Calvino Oscar | Manager | 1820 NW 16th Street, Pembroke Pines, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-08-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| LC Amendment | 2023-08-08 |
| Florida Limited Liability | 2023-05-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
