| Entity Name: | JACKY PEPPER PSY.D INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JACKY PEPPER PSY.D INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 24 Oct 2003 (22 years ago) |
| Date of dissolution: | 18 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Apr 2023 (2 years ago) |
| Document Number: | P03000124060 |
| FEI/EIN Number |
200362228
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12434 NW 63RD STREET, CORAL SPRINGS, FL, 33076, US |
| Mail Address: | 12434 NW 63RD STREET, CORAL SPRINGS, FL, 33076, US |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841321791 | 2007-03-09 | 2012-12-07 | 1500 N UNIVERSITY DR, SUITE 202, CORAL SPRINGS, FL, 330718914, US | 1500 N UNIVERSITY DR, SUITE 202, CORAL SPRINGS, FL, 330718914, US | |||||||||||||||||||||||||
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| Phone | +1 954-345-2292 |
| Fax | 9543418101 |
Authorized person
| Name | DR. JACKY PEPPER |
| Role | OWNER |
| Phone | 9542320044 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6102 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 54571 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEPPER JACKY | President | 12434 NW 63 ST., CORAL SPRINGS, FL, 33076 |
| PEPPER JACKY | Director | 12434 NW 63 ST., CORAL SPRINGS, FL, 33076 |
| PEPPER JACKY | Agent | 12434 NW 63RD STREET, CORAL SPRINGS, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-18 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 12434 NW 63RD STREET, CORAL SPRINGS, FL 33076 | - |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 12434 NW 63RD STREET, CORAL SPRINGS, FL 33076 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 12434 NW 63RD STREET, CORAL SPRINGS, FL 33076 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-18 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-03 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-23 |
| Reg. Agent Change | 2016-05-17 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
