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