| Entity Name: | PATRICIA KATZ LCSW PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Aug 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Apr 2012 (13 years ago) |
| Document Number: | P04000114930 |
| FEI/EIN Number | 20-1457494 |
| Address: | 10288 Prato Dr, Ft Myers, FL, 33913, US |
| Mail Address: | 10288 Prato Dr, Ft Myers, FL, 33913, US |
| ZIP code: | 33913 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851565923 | 2008-04-18 | 2008-04-18 | 762 HERITAGE DR, WESTON, FL, 333264539, US | 10031 PINES BLVD, SUITE 240, PEMBROKE PINES, FL, 330246179, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-801-8174 |
| Fax | 9542178547 |
Authorized person
| Name | MS. PAT J KATZ |
| Role | PRESIDENT |
| Phone | 9548018174 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW6007 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KATZ DAVID | Agent | 10288 Prato Dr., Fort Myers, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| Katz Patricia Katz | President | 10288 Prato Dr, Fort Myers, FL, 33913 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-19 | 10288 Prato Dr, Ft Myers, FL 33913 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-10 | 10288 Prato Dr, Ft Myers, FL 33913 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-10 | 10288 Prato Dr., Fort Myers, FL 33913 | No data |
| REINSTATEMENT | 2012-04-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-28 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-02 |
| AMENDED ANNUAL REPORT | 2016-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
