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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
AJESH, SMITHA | Agent | 19340 BLUFF DR, VENICE, FL 34292 |
Name | Role | Address |
---|---|---|
AJESH, SMITHA | Authorized Member | 19340 BLUFF DR, VENICE, FL 34292 |
Name | Date |
---|---|
Florida Limited Liability | 2024-07-08 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State