| Entity Name: | GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Aug 2006 (19 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 22 May 2020 (5 years ago) |
| Document Number: | P06000101019 |
| FEI/EIN Number | 22-3940282 |
| Address: | 9050 PINES BLVD SUITE 425- 428, PEMBROKE PINES, FL 33024 |
| Mail Address: | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33027 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255004669 | 2021-07-30 | 2021-07-30 | 510 NW 98TH ST, MIAMI, FL, 331501617, US | 8910 MIRAMAR PKWY STE 211A, MIRAMAR, FL, 330254961, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-822-2754 |
| Phone | +1 754-226-5509 |
| Fax | 7543003904 |
Authorized person
| Name | URMENE PIERRE |
| Role | ADMINISTRATOR |
| Phone | 9548222754 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1578711719 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PIERRE, URMENE | Agent | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Pierre, Urmene, DR. | President | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Pierre, Urmene, DR. | Director | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33024 |
| Pierre, Urmene | Director | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Pierre, Urmene | Treasurer | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| Pierre, Urmene | Vice President | 9050 PINES BLVD SUITE 425-428, PEMBROKE, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-27 | 9050 PINES BLVD SUITE 425- 428, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-27 | 9050 PINES BLVD SUITE 425- 428, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-27 | 9050 PINES BLVD SUITE 425-428, PEMBROKE PINES, FL 33024 | No data |
| NAME CHANGE AMENDMENT | 2020-05-22 | GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC | No data |
| REINSTATEMENT | 2007-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-09 |
| Name Change | 2020-05-22 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-17 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-02-23 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
