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GENICS BEHAVIORAL HEALTH PSYCHIATRY LLC - Florida Company Profile

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Company Details

Entity Name: GENICS BEHAVIORAL HEALTH PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Jan 2024 (2 years ago)
Document Number: L24000001221
FEI/EIN Number 99-0687464
Address: 3051 SANDPIPER BAY CIR, NAPLES, FL, 34112, US
Mail Address: 8891 Brighton Lane, BONITA SPRINGS, FL, 34135, US
ZIP code: 34112
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CAMILUS WATSON Authorized Member 3051 SANDPIPER BAY CIR # 1205, NAPLES, FL, 34112
CAMILUS WATSON Agent 3051 SANDPIPER BAY CIR # 1205, NAPLES, FL, 34112

National Provider Identifier

NPI Number:
1093560583
Certification Date:
2024-04-18

Authorized Person:

Name:
MR. WATSON CAMILUS
Role:
PMHNP
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-17 3051 SANDPIPER BAY CIR, Apt. I-205, NAPLES, FL 34112 -
CHANGE OF MAILING ADDRESS 2024-05-17 3051 SANDPIPER BAY CIR, Apt. I-205, NAPLES, FL 34112 -

Documents

Name Date
Florida Limited Liability 2024-01-03

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Date of last update: 01 Aug 2025

Sources: Florida Department of State