| Entity Name: | DR. CARMINE PECORARO, PSY.D & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Nov 2001 (23 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P01000108289 |
| FEI/EIN Number | 651154871 |
| Address: | 1650 NE 26TH STREET, SUITE 206, WILTON MANORS, FL, 33305, US |
| Mail Address: | .10037 Waterworks Lane, RIverview, FL, 33569, US |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093933590 | 2007-04-23 | 2008-04-08 | 915 MIDDLE RIVER DR, 317, FT LAUDERDALE, FL, 333043544, US | 915 MIDDLE RIVER DR, 317, FT LAUDERDALE, FL, 333043544, US | |||||||||||||||||||||||||
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| Phone | +1 954-463-2723 |
| Fax | 9544631687 |
Authorized person
| Name | MS. JUDITH ANN PECORARO |
| Role | VICE PRESIDENT |
| Phone | 9548294644 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | PY7477 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | AF405 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Pecoraro Carmine P | Agent | 2761 Resnik Circle West, Palm Haarbor, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| PECORARO CARMINE D | President | 1650 NE 26TH STREET SUITE 206, WILTON MANORS, FL, 33305 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 1650 NE 26TH STREET, SUITE 206, WILTON MANORS, FL 33305 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-29 | 1650 NE 26TH STREET, SUITE 206, WILTON MANORS, FL 33305 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | Pecoraro, Carmine P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 2761 Resnik Circle West, Palm Haarbor, FL 34683 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000588580 | ACTIVE | 1000001010479 | BROWARD | 2024-09-04 | 2034-09-11 | $ 549.97 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J23000068650 | ACTIVE | 1000000943724 | BROWARD | 2023-02-09 | 2033-02-15 | $ 893.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629 |
| J21000158539 | TERMINATED | 1000000883232 | BROWARD | 2021-04-02 | 2031-04-07 | $ 1,276.90 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-06-16 |
| ANNUAL REPORT | 2018-06-28 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-03-17 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
