PENSACOLA PSYCHOLOGICAL CLINIC, P.A. - Florida Company Profile

Key Officers & Management

Name	Role	Address
GROOM KEVIN N	Director	890 S PALAFOX STREET, PENSACOLA, FL, 32502
KELLY MICHAEL	Agent	890 S PALAFOX STREET, PENSACOLA, FL, 32502

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G20000146963	ANCHOR NEUROSCIENCE	ACTIVE	2020-11-16	2030-12-31	-	890 S. PALAFOX STREET, SUITE 300, PENSACOLA, FL, 32502
G16000038267	ANCHOR NEUROSCIENCE	ACTIVE	2016-04-15	2026-12-31	-	890 S PALAFOX STREET,SUITE 300, PENSACOLA, FL, 32502
G13000105787	HARMONEX NEUROSCIENCE OF PENSACOLA	EXPIRED	2013-10-28	2018-12-31	-	890 S. PALAFOX STREET, SUITE 300, PENSACOLA, FL, 32502

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2025-01-06	890 S PALAFOX STREET, SUITE 300, PENSACOLA, FL 32502	-
CHANGE OF MAILING ADDRESS	2025-01-06	890 S PALAFOX STREET, SUITE 300, PENSACOLA, FL 32502	-
REGISTERED AGENT NAME CHANGED	2025-01-06	KELLY, MICHAEL	-
REGISTERED AGENT ADDRESS CHANGED	2025-01-06	890 S PALAFOX STREET, SUITE 200, PENSACOLA, FL 32502	-

Debts

Document Number	Status	Case Number	Name of Court	Date of Entry	Expiration Date	Amount Due	Plaintiff
J10000497856	TERMINATED	1000000166858	ESCAMBIA	2010-04-06	2030-04-14	$ 1,187.29	STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254

Documents

Name	Date
ANNUAL REPORT	2025-01-06
ANNUAL REPORT	2024-01-31
ANNUAL REPORT	2023-03-17
ANNUAL REPORT	2022-02-21
ANNUAL REPORT	2021-03-27
ANNUAL REPORT	2020-03-09
ANNUAL REPORT	2019-02-26
ANNUAL REPORT	2018-03-02
ANNUAL REPORT	2017-03-15
ANNUAL REPORT	2016-03-31