| Entity Name: | GREEN PASTURE PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Jul 2023 (a year ago) |
| Document Number: | L23000358942 |
| FEI/EIN Number | 93-4896029 |
| Address: | 10907 OBSERVATORY WAY, TAMPA, FL 33647 |
| Mail Address: | 10907 OBSERVATORY WAY, OBSERVATORY, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861260804 | 2023-12-19 | 2023-12-19 | 10907 OBSERVATORY WAY, TAMPA, FL, 336473583, US | 10907 OBSERVATORY WAY, TAMPA, FL, 336473583, US | |||||||||||||
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| Phone | +1 727-509-5226 |
Authorized person
| Name | OLAMIJU OLALEYE |
| Role | OWNER |
| Phone | 7275095226 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLALEYE, OLAMIJU | Agent | 10907 OBSERVATORY WAY, TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| OLALEYE, OLAMIJU | Manager | 10907 OBSERVATORY WAY, TAMPA, FL 33647 |
| OLALEYE, KEHINDE T | Manager | 10907 OBSERVATORY WAY, TAMPA, FL 33647 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| Florida Limited Liability | 2023-07-31 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
