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CONFIDENCE PSYCHIATRIC ASSOCIATES PLLC

Company Details

Entity Name: CONFIDENCE PSYCHIATRIC ASSOCIATES PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Jul 2024 (7 months ago)
Document Number: L24000298952
Address: 19340 BLUFF DR, VENICE, FL 34292
Mail Address: 19340 BLUFF DR, VENICE, FL 34292
ZIP code: 34292
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669209474 2024-09-16 2024-09-20 19340 BLUFF DR, VENICE, FL, 342922705, US 3231 GULF GATE DR STE 202B, SARASOTA, FL, 342312406, US

Contacts

Phone +1 239-204-7659

Authorized person

Name SMITHA AJESH
Role OWNER
Phone 2392047659

Taxonomy

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

Agent

Name Role Address
AJESH, SMITHA Agent 19340 BLUFF DR, VENICE, FL 34292

Authorized Member

Name Role Address
AJESH, SMITHA Authorized Member 19340 BLUFF DR, VENICE, FL 34292

Documents

Name Date
Florida Limited Liability 2024-07-08

Date of last update: 08 Feb 2025

Sources: Florida Department of State