| Entity Name: | MARSH LANDING BEHAVIORAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Sep 2000 (24 years ago) |
| Document Number: | P00000084360 |
| FEI/EIN Number | 593675321 |
| Address: | 1538 The Greens Way, Suite 101, Jacksonville Beach, FL, 32250, US |
| Mail Address: | 1538 The Greens Way, Suite 101, Jacksonville Beach, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124143490 | 2007-03-19 | 2009-02-18 | 1538 THE GREENS WAY, SUITE 101, JACKSONVILLE BEACH, FL, 322502499, US | 1538 THE GREENS WAY, SUITE 101, JACKSONVILLE BEACH, FL, 322502499, US | |||||||||||||||
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| Phone | +1 904-543-0161 |
| Fax | 9045439172 |
Authorized person
| Name | DR. MARK CHRISTOPHER TOMASKI |
| Role | CEO, MEDICAL DIRECTOR |
| Phone | 9045430161 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOMASKI MARK M.D. | Agent | 1538 The Greens Way, Jacksonville Beach, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| Tomaski Mark M.D. | Chief Executive Officer | 1538 The Greens Way, Jacksonville Beach, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| Tomaski Debra M.D. | President | 1538 The Greens Way, Jacksonville Beach, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-15 | 1538 The Greens Way, Suite 101, Jacksonville Beach, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-15 | 1538 The Greens Way, Suite 101, Jacksonville Beach, FL 32250 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-15 | TOMASKI, MARK, M.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-15 | 1538 The Greens Way, Suite101, Jacksonville Beach, FL 32250 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-05-21 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-02-02 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-06-30 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
