| Entity Name: | SUE WHITE, LCSW, CAP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Feb 2001 (24 years ago) |
| Date of dissolution: | 25 Nov 2024 (2 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Nov 2024 (2 months ago) |
| Document Number: | P01000018556 |
| FEI/EIN Number | 651113716 |
| Address: | 5901 SW 74TH STREET, SUITE 404, SOUTH MIAMI, FL, 33143, US |
| Mail Address: | 3400 N.E. 192ND STREET PH6, PH-6, AVENTURA, FL, 33180, US |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184959975 | 2009-10-12 | 2009-10-12 | 1450 MADRUGA AVE STE 304, CORAL GABLES, FL, 331463164, US | 1450 MADRUGA AVE STE 304, CORAL GABLES, FL, 331463164, US | |||||||||||||||||||||||||
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| Phone | +1 305-663-9080 |
| Fax | 3056631084 |
Authorized person
| Name | MS. SUE WHITE |
| Role | PRESIDENT |
| Phone | 3056639080 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW5462 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INSURANCE |
| Number | 1265431282 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WHITE SUE | Agent | 5901 SW 74th Street, South Miami, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| WHITE SUE | President | 3400 N.E. 192ND STREET PH 6, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-04 | 5901 SW 74th Street, suite 404, South Miami, FL 33143 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-08-26 | 5901 SW 74TH STREET, SUITE 404, SOUTH MIAMI, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-03 | 5901 SW 74TH STREET, SUITE 404, SOUTH MIAMI, FL 33143 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-25 |
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-07 |
| ANNUAL REPORT | 2022-01-15 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-01 |
| ANNUAL REPORT | 2017-01-04 |
| ANNUAL REPORT | 2016-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
