| Entity Name: | FLORIDA PSYCHOLOGICAL & ASSOCIATED HEALTHCARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 06 Oct 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Oct 2019 (5 years ago) |
| Document Number: | N15000009751 |
| FEI/EIN Number | 47-5258009 |
| Address: | 1903 Island Walk, Fernandina Beach, FL, 32034, US |
| Mail Address: | 1903 Island Walk, Fernandina Beach, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326419029 | 2015-10-07 | 2017-05-09 | 1903 ISLAND WALK WAY, FERNANDINA BEACH, FL, 320344797, US | 1903 ISLAND WALK WAY, FERNANDINA BEACH, FL, 320344797, US | |||||||||||||||||||
|
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| Phone | +1 904-277-0027 |
| Fax | 4078676261 |
Authorized person
| Name | CATHERINE H DREW |
| Role | CEO |
| Phone | 9042770027 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY 9101 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DREW Catherine HDr. | Agent | 1903 Island Walk, Fernandina Beach, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| STURGES DANIEL D | Treasurer | 2626 MCGREGOR BLVD, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| McCaffrey John P | President | 14137 Pine Island Drive, Jacksonville, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| Schroeder Walter S | Vice President | 2808 Caribbean Drive, Punta Gorda, FL, 33950 |
| Name | Role | Address |
|---|---|---|
| Blackshear Anna R | Auth | 85048 Amaryllis Court, Fernandina Beach, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| Drew Catherine HDr. | Exec | 1903 Island Walk, Fernandina Beach, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-24 | 1903 Island Walk, Fernandina Beach, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-24 | 1903 Island Walk, Fernandina Beach, FL 32034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-24 | 1903 Island Walk, Fernandina Beach, FL 32034 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-21 | DREW, Catherine H, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-07 |
| AMENDED ANNUAL REPORT | 2021-05-07 |
| ANNUAL REPORT | 2021-02-28 |
| ANNUAL REPORT | 2020-04-07 |
| REINSTATEMENT | 2019-10-17 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
