| Entity Name: | POLYCARPE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 03 Sep 1999 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2023 (a year ago) |
| Document Number: | N99000005387 |
| FEI/EIN Number | 593724876 |
| Address: | 2817 Neverland Drive, New Smyrna Beach, FL, 32168, US |
| Mail Address: | 2817 Neverland Drive, New Smyrna Beach, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780904326 | 2010-06-06 | 2014-10-16 | 121 S ORANGE AVE, SUITE 1500, ORLANDO, FL, 328013221, US | 121 S ORANGE AVE, SUITE 1500, ORLANDO, FL, 328013221, US | |||||||||||||||||
|
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| Phone | +1 407-792-5896 |
Authorized person
| Name | MRS. PENNY B DELERME |
| Role | DIRECTOR |
| Phone | 4077925896 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH 6651 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Delerme Patrick | Agent | 2817 Neverland Drive, New Smyrna Beach, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| DELERME PENNY B | President | 121 SOUTH ORANGE AVENUE, SUITE 1500, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| Rojo Julian V | Director | 121 SOUTH ORANGE AVENUE, SUITE 1500, ORLANDO, FL, 32801 |
| Yu Norman | Director | 121 SOUTH ORANGE AVENUE, SUITE 1500, ORLANDO, FL, 32801 |
| Padilla Justin | Director | 121 SOUTH ORANGE AVENUE, SUITE 1500, ORLANDO, FL, 32801 |
| Mathes Clyde | Director | 121 SOUTH ORANGE AVENUE, SUITE 1500, ORLANDO, FL, 32801 |
| Ambroise Yansmith B | Director | 121 SOUTH ORANGE AVENUE, SUITE 1500, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-12 | 2817 Neverland Drive, New Smyrna Beach, FL 32168 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-12 | 2817 Neverland Drive, New Smyrna Beach, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-12 | 2817 Neverland Drive, New Smyrna Beach, FL 32168 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-12 | Delerme, Patrick | No data |
| REINSTATEMENT | 2023-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2001-06-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| REINSTATEMENT | 2023-10-12 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
