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ISLAND PARK PSYCHIATRY LLC - Florida Company Profile

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Company Details

Entity Name: ISLAND PARK PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ISLAND PARK PSYCHIATRY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 02 May 2024 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 May 2024 (a year ago)
Document Number: L24000205196
FEI/EIN Number 99-2946855

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 19451 S. Tamiami Trl, Fort Myers, FL, 33908, US
Mail Address: 19451 S. Tamiami Trl, Fort Myers, FL, 33908, US
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ZENBUSINESS INC. Agent -
Fox Rebecca Authorized Member 17578 Blackfriar Drive, Fort Myers, FL, 33908

National Provider Identifier

NPI Number:
1679311708
Certification Date:
2025-02-14

Authorized Person:

Name:
REBECCA FOX
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-05-21 - -
CHANGE OF PRINCIPAL ADDRESS 2024-05-21 19451 S TAMIAMI TR STE 1089, FORT MYERS, FL 33908 -
CHANGE OF MAILING ADDRESS 2024-05-21 19451 S TAMIAMI TR STE 1089, FORT MYERS, FL 33908 -

Documents

Name Date
LC Amendment 2024-05-21
Florida Limited Liability 2024-05-02

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Date of last update: 02 Jun 2025

Sources: Florida Department of State