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APPLE PSYCHIATRIC, INC.

Company Details

Entity Name: APPLE PSYCHIATRIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 28 Dec 2007 (17 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P07000135292
FEI/EIN Number 261661155
Address: 5064 S. University Drive, Davie, FL, 33328, US
Mail Address: 5064 S. UNIVERSITY DRIVE, DAVIE, FL, 33328, US
ZIP code: 33328
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710163480 2008-01-12 2009-09-16 14201 W. SUNRISE BLVD., SUITE 208, SUNRISE, FL, 33323, US 14201 W. SUNRISE BLVD., SUITE 208, SUNRISE, FL, 33323, US

Contacts

Phone +1 954-851-9690
Fax 9548519688

Authorized person

Name JOANNE WILLIS
Role DIRECTOR
Phone 9548519690

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number ARNP1837702
State FL
Is Primary Yes
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number ARNP1837702
State FL
Is Primary No

Agent

Name Role Address
WILLIS JOANNE Agent 5064 S. UNIVERSITY DRIVE, DAVIE, FL, 33328

President

Name Role Address
WILLIS JOANNE President 5064 S. UNIVERSITY DRIVE, DAVIE, FL, 33328

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-16 5064 S. University Drive, Davie, FL 33328 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-20 5064 S. UNIVERSITY DRIVE, DAVIE, FL 33328 No data

Documents

Name Date
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-16
ANNUAL REPORT 2014-03-20
ANNUAL REPORT 2013-04-13
ANNUAL REPORT 2012-01-16
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-04-18
ANNUAL REPORT 2009-04-20

Date of last update: 01 Jan 2025

Sources: Florida Department of State