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MLD BEHAVIORAL HEALTH, PLLC - Florida Company Profile

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Company Details

Entity Name: MLD BEHAVIORAL HEALTH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Jul 2024 (a year ago)
Document Number: L24000311695
FEI/EIN Number 994013668
Address: 1343 MAIN ST, 706, SARASOTA, FL, 34236, US
Mail Address: 5323 SIESTA COVE DRIVE, SARASOTA, FL, 34242, US
ZIP code: 34236
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MARK D'AGOSTINO Manager 5323 SIESTA COVE DRIVE, SARASOTA, FL, 34242
D'AGOSTINO MARK Agent 5323 SIESTA COVE DRIVE, SARASOTA, FL, 34242

National Provider Identifier

NPI Number:
1396573598
Certification Date:
2024-07-22

Authorized Person:

Name:
DR. MARK D'AGOSTINO
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000085436 MD BEHAVIORAL HEALTH, PLLC ACTIVE 2024-07-17 2029-12-31 - 1343 MAIN ST, SUITE 706, SARASOTA, FL, 34236

Documents

Name Date
ANNUAL REPORT 2025-02-07
Florida Limited Liability 2024-07-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State