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SEA BREEZE PSYCHIATRY LLC - Florida Company Profile

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Company Details

Entity Name: SEA BREEZE PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 May 2024 (a year ago)
Document Number: L24000205180
FEI/EIN Number 99-2946698
Address: 1512 East John Sims Pkwy, Niceville, FL, 32578, US
Mail Address: 1512 East John Sims Pkwy, Niceville, FL, 32578, US
ZIP code: 32578
City: Niceville
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
De Lay Lawrence JM.D. Authorized Member 1512 East John Sims Pkwy, Niceville, FL, 32578
- Agent -

National Provider Identifier

NPI Number:
1548019789
Certification Date:
2024-09-05

Authorized Person:

Name:
DR. LAWRENCE JOHN DE LAY
Role:
OWER/PSYCHIATRIST
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-07-10 - -

Documents

Name Date
Florida Limited Liability 2024-05-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State