| Entity Name: | PARKWAY PSYCHIATRY AND FAMILY COUNSELING, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Feb 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Sep 2022 (2 years ago) |
| Document Number: | P04000042060 |
| FEI/EIN Number | 200942059 |
| Address: | 3040 N. WICKHAM RD., SUITE 3, MELBOURNE, FL, 32935, US |
| Mail Address: | 3040 N. WICKHAM RD., SUITE 3, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851326169 | 2006-07-12 | 2020-08-22 | 3040 N WICKHAM RD, SUITE 3, MELBOURNE, FL, 329352369, US | 3040 N WICKHAM RD, SUITE 3, MELBOURNE, FL, 329352369, US | |||||||||||||||||||
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| Phone | +1 321-254-3042 |
| Fax | 3212544770 |
Authorized person
| Name | DR. GARY S. MOSHER |
| Role | PRESIDENT/OWNER |
| Phone | 3212543042 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME48860 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOSHER GARY SDr. | Agent | 3160 HILLIARD COURT, MELBOURNE, FL, 32934 |
| Name | Role | Address |
|---|---|---|
| MOSHER GARY SDr. | President | 3160 HILLIARD COURT, MELBOURNE, FL, 32934 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-10 | MOSHER, GARY S, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-10 | 3040 N. WICKHAM RD., SUITE 3, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-10 | 3040 N. WICKHAM RD., SUITE 3, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-09-27 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-02-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
