| Entity Name: | CLINICAL PSYCHOLOGY ASSOCIATES OF TAMPA BAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Aug 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P04000113547 |
| FEI/EIN Number | 201458489 |
| Address: | 1210 MILLENNIUM PKWY., STE. 1033, BRANDON, FL, 33511 |
| Mail Address: | P. O. BOX 2288, BRANDON, FL, 33509 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669506671 | 2007-03-15 | 2020-08-22 | PO BOX 2288, BRANDON, FL, 335092288, US | 1210 MILLENNIUM PKWY, SUITE 1033, BRANDON, FL, 335114896, US | |||||||||||||||
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| Phone | +1 813-657-0488 |
| Fax | 3525180063 |
Authorized person
| Name | DR. CHERROLYN CATRECE SMITH |
| Role | PRESIDENT |
| Phone | 8136570488 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH CHERROLYN C | Agent | 1210 MILLENNIUM PARKWAY, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| SMITH CHERROLYN C | Director | P.O. BOX 2288, BRANDON, FL, 33509 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-31 | 1210 MILLENNIUM PKWY., STE. 1033, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-31 | 1210 MILLENNIUM PARKWAY, SUITE 1033, BRANDON, FL 33511 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-23 | 1210 MILLENNIUM PKWY., STE. 1033, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-03-03 |
| ANNUAL REPORT | 2007-03-31 |
| ANNUAL REPORT | 2006-04-23 |
| ANNUAL REPORT | 2005-07-05 |
| Domestic Profit | 2004-08-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
