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TANYA MICKLER, PH.D., P.A. - Florida Company Profile

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Company Details

Entity Name: TANYA MICKLER, PH.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Dec 2002 (23 years ago)
Document Number: P02000133947
FEI/EIN Number 141863537
Address: 2653 SW 87TH DRIVE, SUITE A, GAINESVILLE, FL, 32608, US
Mail Address: 2653 SW 87TH DRIVE, SUITE A, GAINESVILLE, FL, 32608, US
ZIP code: 32608
City: Gainesville
County: Alachua
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MICKLER TANYA J President 10114 SW 38TH PLACE, GAINESVILLE, FL, 32608
MICKLER JON C Secretary 10114 SW 38TH PLACE, GAINESVILLE, FL, 32608
MICKLER TANYA Agent 2653 SW 87TH DR, SUITE A, GAINESVILLE, FL, 32608

National Provider Identifier

NPI Number:
1356513055

Authorized Person:

Name:
MRS. NORMA BOX
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
3523742166

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-02-15 2653 SW 87TH DRIVE, SUITE A, GAINESVILLE, FL 32608 -
CHANGE OF MAILING ADDRESS 2009-02-15 2653 SW 87TH DRIVE, SUITE A, GAINESVILLE, FL 32608 -
REGISTERED AGENT ADDRESS CHANGED 2009-02-15 2653 SW 87TH DR, SUITE A, GAINESVILLE, FL 32608 -

Documents

Name Date
ANNUAL REPORT 2024-03-17
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-02-26
ANNUAL REPORT 2021-04-10
ANNUAL REPORT 2020-02-16
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-04-09
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-16

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$7,750
Date Approved:
2020-07-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,750
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$7,815.88
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $7,750

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Date of last update: 03 Aug 2025

Sources: Florida Department of State