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GLENN R. CADDY, PH.D., P.A. - Florida Company Profile

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Company Details

Entity Name: GLENN R. CADDY, PH.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Jul 1988 (37 years ago)
Date of dissolution: 19 Oct 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Oct 2022 (3 years ago)
Document Number: M88572
FEI/EIN Number 650054953
Address: 500 NE 4th Street, Ft LAUDERDALE, FL, 33301, US
Mail Address: 500 NE 4th Street, Ft LAUDERDALE, FL, 33301, US
ZIP code: 33301
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Caddy Glenn RPhd President 500 N.E 4th Street, FORT LAUDERDALE, FL, 33301
Caddy Glenn RDr. Agent 500 N.E. 4th Street, FORT LAUDERDALE, FL, 33301

National Provider Identifier

NPI Number:
1871755579

Authorized Person:

Name:
DR. GLENN ROSS CADDY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-10-19 - -
CHANGE OF PRINCIPAL ADDRESS 2021-06-03 500 NE 4th Street, SUITE 101, Ft LAUDERDALE, FL 33301 -
CHANGE OF MAILING ADDRESS 2021-06-03 500 NE 4th Street, SUITE 101, Ft LAUDERDALE, FL 33301 -
REGISTERED AGENT NAME CHANGED 2021-04-15 Caddy, Glenn Ross, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2020-01-18 500 N.E. 4th Street, Second Floor, FORT LAUDERDALE, FL 33301 -
REINSTATEMENT 2004-12-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
Voluntary Dissolution 2022-10-19
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-01-08
ANNUAL REPORT 2014-01-15

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Date of last update: 01 Aug 2025

Sources: Florida Department of State