| Entity Name: | TARPON PSYCHIATRIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 2005 (20 years ago) |
| Document Number: | P05000015678 |
| FEI/EIN Number | 202264744 |
| Address: | 1501 SOUTH PINELLAS AVENUE, SUITE K, TARPON SPRINGS, FL, 34689 |
| Mail Address: | 1501 SOUTH PINELLAS AVENUE, SUITE K, TARPON SPRINGS, FL, 34689 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730224403 | 2007-02-21 | 2020-08-22 | 1501 S PINELLAS AVE, SUITE K, TARPON SPRINGS, FL, 346891955, US | 1501 S PINELLAS AVE, SUITE K, TARPON SPRINGS, FL, 346891955, US | |||||||||||||||||||
|
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| Phone | +1 727-938-0714 |
| Fax | 7279389513 |
Authorized person
| Name | DR. IRENE ANDREA NICKOLAKIS |
| Role | PRESIDENT |
| Phone | 7279380714 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0055877 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICKOLAKIS IRENE A | Agent | 1501 SOUTH PINELLAS AVENUE, TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| NICKOLAKIS IRENE A | President | 1501 SOUTH PINELLAS AVENUE SUITE K, TARPON SPRINGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-28 | 1501 SOUTH PINELLAS AVENUE, SUITE K, TARPON SPRINGS, FL 34689 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-28 | 1501 SOUTH PINELLAS AVENUE, SUITE K, TARPON SPRINGS, FL 34689 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-18 | NICKOLAKIS, IRENE A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-18 | 1501 SOUTH PINELLAS AVENUE, SUITE K, TARPON SPRINGS, FL 34689 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-03 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
