| Entity Name: | MARIANNE L. MCCAIN, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Apr 1990 (35 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Oct 2022 (2 years ago) |
| Document Number: | L66395 |
| FEI/EIN Number | 59-3013301 |
| Address: | 118 TRUXTON AVENUE, FT. WALTON BEACH, FL 32547 |
| Mail Address: | 118 TRUXTON AVENUE, FT. WALTON BEACH, FL 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467626614 | 2008-04-18 | 2008-04-18 | 118 TRUXTON AVE, FORT WALTON BEACH, FL, 325472461, US | 118 TRUXTON AVE, FORT WALTON BEACH, FL, 325472461, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-664-7690 |
| Fax | 8506647691 |
Authorized person
| Name | DR. MARIANNE LISA MCCAIN |
| Role | PRESIDENT |
| Phone | 8506647690 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0004162 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAUMAN, STEVEN B. | Agent | 924 Pocahontas Dr., FT. WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| MCCAIN, MARIANNE L. | Director | 924 POCAHONTAS DR., FT WALTON BEACH, FL |
| Name | Role | Address |
|---|---|---|
| MCCAIN, MARIANNE L. | President | 924 POCAHONTAS DR., FT WALTON BEACH, FL |
| Name | Role | Address |
|---|---|---|
| MCCAIN, MARIANNE L. | Secretary | 924 POCAHONTAS DR., FT WALTON BEACH, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-26 | BAUMAN, STEVEN B. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-26 | 924 Pocahontas Dr., FT. WALTON BEACH, FL 32547 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-09 | 118 TRUXTON AVENUE, FT. WALTON BEACH, FL 32547 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-09 | 118 TRUXTON AVENUE, FT. WALTON BEACH, FL 32547 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-23 |
| REINSTATEMENT | 2022-10-26 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-08 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
