| Entity Name: | PALM PSYCHIATRIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Nov 2006 (18 years ago) |
| Document Number: | P06000139271 |
| FEI/EIN Number | 611520968 |
| Address: | 10661 N KENDALL DR, MIAMI, FL, 33176, US |
| Mail Address: | 10661 N KENDALL DR, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275760779 | 2009-06-11 | 2009-06-11 | 10631 N KENDALL DR, SUITE 125, MIAMI, FL, 331761568, US | 10631 N KENDALL DR, SUITE 125, MIAMI, FL, 331761568, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-598-8000 |
Authorized person
| Name | DR. ELDA LOPEZ |
| Role | OWNER/PRESIDENT |
| Phone | 3055988000 |
Taxonomy
| Taxonomy Code | 103TP0016X - Prescribing (Medical) Psychologist |
| License Number | ME86541 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CABRERA TERESA | Agent | 16131 SW 147 LANE, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| LOPEZ ELDA M | President | 16131 SW 147 LANE, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| CABRERA TERESA | Vice President | 16131 SW 147 LANE, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ ALINA | Treasurer | 15524 SW 178 ST, MIAMI, FL, 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-28 | 10661 N KENDALL DR, STE 227, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-28 | 10661 N KENDALL DR, STE 227, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
