| Entity Name: | OGLETHORPE PSYCHMED SERVICES OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Sep 2007 (17 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P07000103627 |
| FEI/EIN Number | 260884487 |
| Mail Address: | 15310 AMBERLY DRIVE, TAMPA, FL, 33647, US |
| Address: | 2550 SOUTHEAST WALTON ROAD, PORT ST. LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831385061 | 2007-09-21 | 2010-12-13 | 13406 CORTEZ BLVD, BROOKVILLE, FL, 346136822, US | 2550 SE WALTON RD, PORT ST LUCIE, FL, 349527168, US | |||||||||||||||||
|
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| Phone | +1 352-597-5075 |
| Fax | 3528979644 |
| Phone | +1 772-335-0400 |
Authorized person
| Name | JOHN R. PICCIANO |
| Role | PRESIDENT |
| Phone | 7723350400 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROCK JAMES C | Agent | 7065 WESTPOINTE BOULEVARD, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| PICCIANO JOHN R | President | 15310 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| PICCIANO JOHN R | Director | 15310 AMBERLY DRIVE, TAMPA, FL, 33647 |
| O'SHEA JAMES | Director | 15310 AMBERLY DRIVE, TAMPA, FL, 33647 |
| HOGAN MICHAEL T | Director | 2550 SOUTHEAST WALTON ROAD, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| O'SHEA JAMES | Executive Vice President | 15310 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| HOGAN MICHAEL T | Secretary | 2550 SOUTHEAST WALTON ROAD, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| HOGAN MICHAEL T | Treasurer | 2550 SOUTHEAST WALTON ROAD, PORT ST. LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-25 | 2550 SOUTHEAST WALTON ROAD, PORT ST. LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-27 |
| ANNUAL REPORT | 2010-04-24 |
| ANNUAL REPORT | 2009-04-27 |
| ANNUAL REPORT | 2008-04-29 |
| Domestic Profit | 2007-09-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
