| Entity Name: | FLORIDA PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Aug 2024 (6 months ago) |
| Document Number: | L24000341277 |
| Address: | 1317 EDGEWATER DR, SUITE 1077, ORLANDO, FL 32804 |
| Mail Address: | 1317 EDGEWATER DR, SUITE 1077, ORLANDO, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700617966 | 2024-08-09 | 2024-08-09 | 1317 EDGEWATER DR STE 1077, ORLANDO, FL, 328046350, US | 1317 EDGEWATER DR STE 1077, ORLANDO, FL, 328046350, US | |||||||||||||
|
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| Phone | +1 407-505-5596 |
Authorized person
| Name | DEVIN GREY |
| Role | MANAGER |
| Phone | 3054841875 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREY, DEVIN | Agent | 1317 EDGEWATER DR, SUITE 1077, ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| GREY, DEVIN | Manager | 1317 EDGEWATER DR SUITE 1077, ORLANDO, FL 32804 |
| HAMID, AHSAN | Manager | 1317 EDGEWATER DR SUITE 1077, ORLANDO, FL 32804 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-02 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
