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CONVERSE PSYCHIATRY LLC - Florida Company Profile

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Company Details

Entity Name: CONVERSE PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Nov 2023 (2 years ago)
Document Number: L23000525611
FEI/EIN Number 93-4791286
Address: 4931 CAMELOT ST, NORTH PORT, FL, 34288
Mail Address: 4931 CAMELOT ST, NORTH PORT, FL, 34288
ZIP code: 34288
City: North Port
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILLIAMS DENIESE M Authorized Person 4931 CAMELOT ST, NORTH PORT, FL, 34288
WILLIAMS DENIESE Agent 4931 CAMELOT ST, NORTH PORT, FL, 34288

National Provider Identifier

NPI Number:
1437928637
Certification Date:
2024-07-24

Authorized Person:

Name:
DENIESE WILLIAMS
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-09
Florida Limited Liability 2023-11-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State