| Entity Name: | MICHELLE R. SCARGLE, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Aug 2007 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Oct 2023 (a year ago) |
| Document Number: | P07000093193 |
| FEI/EIN Number | 260740885 |
| Address: | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL, 33759 |
| Mail Address: | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL, 33759 |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962678383 | 2008-05-06 | 2024-08-25 | 2454 N MCMULLEN BOOTH RD STE 502, CLEARWATER, FL, 337591340, US | 2454 N MCMULLEN BOOTH RD STE 501-504, CLEARWATER, FL, 337591353, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 727-285-8770 |
| Fax | 7272858774 |
Authorized person
| Name | SCOTT SCARGLE |
| Role | PRACTICE MANAGER |
| Phone | 7275140065 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 92792 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCARGLE SCOTT | Agent | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| SCARGLE MICHELLE R | Director | 2454 N McMullen Booth Rd, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| SCARGLE SCOTT | Treasurer | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL, 33759 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000160918 | CONCORD HEALTH | ACTIVE | 2021-12-05 | 2026-12-31 | No data | 2454 N MCMULLEN BOOTH RD STE 502, CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-10-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-10 | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-10 | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL 33759 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-10 | SCARGLE, SCOTT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-10 | 2454 N MCMULLEN BOOTH RD, STE 502, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| Amendment | 2023-10-10 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-03-17 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
