| Entity Name: | FLORIDA ADULT & CHILD PSYCHIATRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Nov 2005 (19 years ago) |
| Date of dissolution: | 17 Aug 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Aug 2020 (4 years ago) |
| Document Number: | P05000148110 |
| FEI/EIN Number | 20-4361266 |
| Address: | 102 PARK PLACE BLVD., BLDG D, SUITES 2-3, KISSIMMEE, FL 34741 |
| Mail Address: | 102 PARK PLACE BLVD., BLDG D, SUITES 2-3, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063706521 | 2011-06-01 | 2011-10-06 | PO BOX 451717, KISSIMMEE, FL, 347451717, US | 201 HILDA ST, SUITE # 22, KISSIMMEE, FL, 347412320, US | |||||||||||||||||||||||||||
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| Phone | +1 407-279-5069 |
| Fax | 4072795175 |
Authorized person
| Name | DR. RUBINA INAYAT |
| Role | PRESIDENT |
| Phone | 4079633390 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | ME92855 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | ME92855 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| INAYAT, RUBINA | Agent | 102 Parkplace Blvd, Building D, Suite # 2-3, Kissimmee, FL 34741 |
| Name | Role | Address |
|---|---|---|
| INAYAT, RUBINA | President | 102 Parkplace Blvd, Building D Suite # 2-3 Kissimmee, FL 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-08-17 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-17 | 102 Parkplace Blvd, Building D, Suite # 2-3, Kissimmee, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-22 | 102 PARK PLACE BLVD., BLDG D, SUITES 2-3, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-22 | 102 PARK PLACE BLVD., BLDG D, SUITES 2-3, KISSIMMEE, FL 34741 | No data |
| AMENDMENT AND NAME CHANGE | 2010-11-01 | FLORIDA ADULT & CHILD PSYCHIATRY, INC. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-08-17 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-02-08 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-01-17 |
| ANNUAL REPORT | 2015-02-22 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-03-03 |
| ANNUAL REPORT | 2012-02-19 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
