| Entity Name: | SANDRA K. FAUST, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Jun 2004 (21 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P04000091589 |
| FEI/EIN Number | 20-1240896 |
| Address: | 5237 Summerlin Commons Blvd, 108, Ft! Myers, FL 33907 |
| Mail Address: | 5237 Summerlin Commons Blvd, 108, Ft! Myers, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770662033 | 2006-11-06 | 2020-08-22 | 508 SE OSCEOLA ST, STUART, FL, 349942322, US | 508 SE OSCEOLA ST, STUART, FL, 349942322, US | |||||||||||||||||||
|
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| Phone | +1 772-463-4190 |
| Fax | 7722236313 |
Authorized person
| Name | DR. SANDRA KAYE FAUST |
| Role | PRESDIENT |
| Phone | 7724634190 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | LMHC 1474 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICHARD A. WOLLNER CPA PA | Agent | 2917 WEST ROAD 434, 151, LONGWOOD, FL 32779 |
| Name | Role | Address |
|---|---|---|
| FAUST, SANDRA K | President | 5237 Summerlin Commons Blvd, 108 Ft! Myers, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-24 | 5237 Summerlin Commons Blvd, 108, Ft! Myers, FL 33907 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-24 | 5237 Summerlin Commons Blvd, 108, Ft! Myers, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-22 | 2917 WEST ROAD 434, 151, LONGWOOD, FL 32779 | No data |
| CANCEL ADM DISS/REV | 2007-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-24 |
| ANNUAL REPORT | 2012-06-16 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-02-22 |
| ANNUAL REPORT | 2009-06-16 |
| ANNUAL REPORT | 2008-07-31 |
| REINSTATEMENT | 2007-10-15 |
| ANNUAL REPORT | 2006-07-10 |
| REINSTATEMENT | 2005-10-06 |
| Domestic Profit | 2004-06-14 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
