Entity Name: | TAYLOR'D TO YOU FAMILY PSYCHIATRY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 25 Jun 2024 (7 months ago) |
Document Number: | L24000287224 |
Address: | 4900 MANGO BLVD, WEST PALM BEACH, FL, 33411, UN |
Mail Address: | 4900 MANGO BLVD, WEST PALM BEACH, FL, 33411, UN |
ZIP code: | 33411 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104661271 | 2024-06-28 | 2024-06-28 | 4900 MANGO BLVD, WEST PALM BEACH, FL, 334119179, US | 4900 MANGO BLVD, WEST PALM BEACH, FL, 334119179, US | |||||||||||||
|
Phone | +1 561-301-0151 |
Authorized person
Name | MISS JAMIE TAYLOR |
Role | PMHNP |
Phone | 5613010151 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MANSELL EDWIN | Agent | 4900 MANGO BLVD, WEST PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
TAYLOR JAMIE L | Manager | 4900 MANGO BLVD, WEST PALM BEACH, FL, 33411 |
Name | Date |
---|---|
Florida Limited Liability | 2024-06-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State