| Entity Name: | CHARLES DEVINE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jun 2001 (24 years ago) |
| Document Number: | P01000063326 |
| FEI/EIN Number | 593729097 |
| Address: | 336 E. Bloomingdale Ave, BRANDON, FL, 33511, US |
| Mail Address: | 336 E. Bloomingdale Ave, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982905717 | 2010-11-10 | 2011-05-03 | 336 E BLOOMINGDALE AVE, BRANDON, FL, 335118155, US | 336 E BLOOMINGDALE AVE, BRANDON, FL, 335118155, US | |||||||||||||||||||
|
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| Phone | +1 813-689-2466 |
| Fax | 8136890435 |
Authorized person
| Name | DR. CHARLES DEVINE |
| Role | PRESIDENT |
| Phone | 8136892466 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0072537 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEVINE CHARLES M | Agent | 336 E. Bloomingdale Ave, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| DEVINE CHARLES | Director | 336 E. Bloomingdale Ave, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-14 | 336 E. Bloomingdale Ave, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-14 | 336 E. Bloomingdale Ave, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-14 | 336 E. Bloomingdale Ave, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-02-21 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
