| Entity Name: | L. DAISY SKINNER, MSW, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Mar 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Jul 2010 (15 years ago) |
| Document Number: | P05000044424 |
| FEI/EIN Number | 202562771 |
| Mail Address: | 7040 Seminole Pratt Whitney Rd, Loxahatchee, FL, 33470, US |
| Address: | 14199 Orange Blvd, Loxahatchee, FL, 33470, US |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255468377 | 2007-02-27 | 2018-06-21 | 12777 W FOREST HILL BLVD, SUITE 1501, WELLINGTON, FL, 334144775, US | 12777 W FOREST HILL BLVD, SUITE 1501, WELLINGTON, FL, 334144775, US | |||||||||||||||||||||||||
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| Phone | +1 561-795-9079 |
| Fax | 5617959033 |
Authorized person
| Name | L DAISY SKINNER |
| Role | PRESIDENT |
| Phone | 5617959079 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW6240 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1275602823 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SKINNER L. DAISY | Agent | 14199 ORANGE BOULEVARD, LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| SKINNER L. DAISY | President | 14199 ORANGE BOULEVARD, LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| SKINNER L.DAISY | Vice President | 14199 ORANGE BOULEVARD, LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| SKINNER L. DAISY | Secretary | 14199 ORANGE BOULEVARD, LOXAHATCHEE, FL, 33470 |
| SKINNER THOMAS J | Secretary | 14199 ORANGE BOULEVARD, LOXAHATCHEE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-19 | 14199 Orange Blvd, Loxahatchee, FL 33470 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-19 | 14199 Orange Blvd, Loxahatchee, FL 33470 | No data |
| REINSTATEMENT | 2010-07-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
