| Entity Name: | PBC PSYCHIATRIC ASSOCIATES PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Dec 2007 (17 years ago) |
| Document Number: | P07000135241 |
| FEI/EIN Number | 261685432 |
| Address: | 1402 ROYAL PALM BEACH BLVD, 400A, ROYAL PALM BEACH, FL, 33411 |
| Mail Address: | 1402 ROYAL PALM BEACH BLVD, 400A, ROYAL PALM BEACH, FL, 33411 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326283219 | 2008-12-08 | 2008-12-08 | 1402 ROYAL PALM BEACH BLVD, SUITE 400A, ROYAL PALM BEACH, FL, 334111691, US | 1402 ROYAL PALM BEACH BLVD, SUITE 400A, ROYAL PALM BEACH, FL, 334111691, US | |||||||||||||||||||
|
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| Phone | +1 561-792-9977 |
| Fax | 5617929915 |
Authorized person
| Name | DR. NANCY SUZANNE GRIFF |
| Role | OWNER/DOCTOR |
| Phone | 5617929977 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0068273 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRIFF NANCY SMD | Agent | 1402 ROYAL PALM BEACH BLVD., ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| GRIFF NANCY SMD | President | 106 SUNSET COVE LN, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| GRIFF NANCY SMD | Vice President | 106 SUNSET COVE LN, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-23 | 1402 ROYAL PALM BEACH BLVD., STE 400A, ROYAL PALM BEACH, FL 33411 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-23 | GRIFF, NANCY S, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-03-31 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
