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JOAN S. MASON, LCSW CAP, P.A. - Florida Company Profile

Company Details

Entity Name: JOAN S. MASON, LCSW CAP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JOAN S. MASON, LCSW CAP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 04 Jan 2000 (25 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: P00000000830
FEI/EIN Number 593167685

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 200 1ST AVE, 305, PASS-A-GRILLE, FL, 33706
Mail Address: 200 1ST AVE, 305, PASS-A-GRILLE, FL, 33706
ZIP code: 33706
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538207667 2007-02-01 2012-11-16 200 1ST AVE, #305, ST PETE BEACH, FL, 337064364, US 3321 49TH ST N, ST PETERSBURG, FL, 337102145, US

Contacts

Phone +1 727-744-4880
Fax 7273674139
Phone +1 727-743-9060

Authorized person

Name JOAN S MASON
Role OWNER
Phone 7277439060

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW4600
State FL
Is Primary Yes

Other Provider Identifiers

Issuer AETNA
Number 7940163
State FL
Issuer MEDICARE SENDER/SUBMITTER
Number P4510
State FL
Issuer MEDICARE PROVIDER ID 1538207667
Number 1538207667
State FL
Issuer MAGELLAN
Number 182234000
State FL
Issuer MEDICARE GROUP PTAN
Number AK104
State FL
Issuer HUMANA
Number 4014110
State FL
Issuer MEDICARE PTAN
Number Z8210Z
State FL
Issuer CIGNA
Number 0739204
State FL
Issuer UNITED BEHAVIORAL HEALTH
Number 512778450

Key Officers & Management

Name Role Address
MASON JOAN S Director 200 1ST AVE # 305, PASS-A-GRILLE, FL, 33706
MASON JOAN S Agent 200 1ST AVE, PASS-A-GRILLE, FL, 33706

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2001-04-27 200 1ST AVE, 305, PASS-A-GRILLE, FL 33706 -
CHANGE OF MAILING ADDRESS 2001-04-27 200 1ST AVE, 305, PASS-A-GRILLE, FL 33706 -
REGISTERED AGENT ADDRESS CHANGED 2001-04-27 200 1ST AVE, 305, PASS-A-GRILLE, FL 33706 -

Documents

Name Date
ANNUAL REPORT 2018-03-17
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-02-25
ANNUAL REPORT 2014-03-28
ANNUAL REPORT 2013-04-24
ANNUAL REPORT 2012-04-02
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-02-18
ANNUAL REPORT 2009-04-16

Date of last update: 01 Apr 2025

Sources: Florida Department of State