| Entity Name: | CURTIS W. CASSIDY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Mar 2006 (19 years ago) |
| Document Number: | P06000031537 |
| FEI/EIN Number | 342062751 |
| Address: | 832 SOUTH FLORIDA AVE, LAKELAND, FL, 33801, US |
| Mail Address: | 832 SOUTH FLORIDA AVE, LAKELAND, FL, 33801, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477669471 | 2006-08-22 | 2020-03-31 | 832 S FLORIDA AVE STE 2, LAKELAND, FL, 338015202, US | 832 S FLORIDA AVE STE 2, LAKELAND, FL, 338015202, US | |||||||||||||||||||||||||||
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| Phone | +1 863-686-0800 |
| Fax | 8636860805 |
Authorized person
| Name | DR. CURTIS WILLIAM CASSIDY |
| Role | PRESIDENT |
| Phone | 8636860800 |
Taxonomy
| Taxonomy Code | 2084F0202X - Forensic Psychiatry Physician |
| License Number | ME86103 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME86103 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CURTIS W. CASSIDY, M.D., P.A. 401(K) PLAN | 2023 | 342062751 | 2024-09-23 | CURTIS W. CASSIDY, M.D., P.A. | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-23 |
| Name of individual signing | CURTIS W. CASSIDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 8636860800 |
| Plan sponsor’s address | 832 SOUTH FLORIDA AVENUE, SUITE 2, LAKELAND, FL, 33801 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 8636860800 |
| Plan sponsor’s address | 832 SOUTH FLORIDA AVENUE, SUITE 2, LAKELAND, FL, 33801 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 8636860800 |
| Plan sponsor’s address | 832 S. FLORIDA AVENUE, SUITE 2, LAKELAND, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| CASSIDY CURTIS WM.D. | Agent | 832 SOUTH FLORIDA AVE, LAKELAND, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| CASSIDY CURTIS WM.D. | President | 832 SOUTH FLORIDA AVE, LAKELAND, FL, 33801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000023082 | CASSIDY PSYCHIATRY | ACTIVE | 2020-02-21 | 2025-12-31 | No data | 832 S. FLORIDA AVENUE, SUITE 2, LAKELAND, FL, 33801 |
| G09000164939 | TMS CENTERS OF FLORIDA | EXPIRED | 2009-10-14 | 2014-12-31 | No data | 1902 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-17 | 832 SOUTH FLORIDA AVE, SUITE 2, LAKELAND, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-17 | 832 SOUTH FLORIDA AVE, SUITE 2, LAKELAND, FL 33801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-17 | 832 SOUTH FLORIDA AVE, SUITE 2, LAKELAND, FL 33801 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-24 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-05 |
| ANNUAL REPORT | 2016-01-05 |
| ANNUAL REPORT | 2015-01-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6995577104 | 2020-04-14 | 0455 | PPP | 832 Florida Avenue South Suite 2, LAKELAND, FL, 33801 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
