| Entity Name: | FISHER'S PLAYHOUSE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Feb 2024 (a year ago) |
| Document Number: | L24000085201 |
| Address: | 1927 PATRICIAN WAY, FORT WALTON BEACH, FL 32547 |
| Mail Address: | 1927 PATRICIAN WAY, FORT WALTON BEACH, FL 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174378541 | 2024-04-19 | 2024-04-19 | 1927 PATRICIAN WAY, FORT WALTON BEACH, FL, 325471036, US | 1927 PATRICIAN WAY, FORT WALTON BEACH, FL, 325471036, US | |||||||||||||||
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| Phone | +1 850-972-8193 |
| Phone | +1 740-444-3981 |
Authorized person
| Name | DEMPSEY FISHER |
| Role | OWNER |
| Phone | 8509728193 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISHER, DEMPSEY | Agent | 1927 PATRICIAN WAY, FORT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| FISHER, DEMPSEY | Manager | 1927 PATRICIAN WAY, FORT WALTON BEACH, FL 32547 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-19 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
