| Entity Name: | SEAL THERAPEUTIC CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Mar 2008 (17 years ago) |
| Document Number: | P08000028809 |
| FEI/EIN Number | 223977626 |
| Address: | 5818 SE Agnew Road, Belleview, FL, 34420, US |
| Mail Address: | 2735 SE 140TH PL, SUMMERFIELS, FL, 34491, US |
| ZIP code: | 34420 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346408721 | 2008-06-02 | 2024-03-21 | 2735 SE 140TH PL, SUMMERFIELD, FL, 344912877, US | 5818 SE AGNEW RD, BELLEVIEW, FL, 344204020, US | |||||||||||||||||||||||
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| Phone | +1 561-715-5910 |
| Fax | 5618920268 |
Authorized person
| Name | DR. NICOLE WOLLER |
| Role | CLINICAL DIRECTOR |
| Phone | 5617155910 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW8553 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Woller Nikki Phd | Agent | 5818 SE Agnew Road, Belleview, FL, 34420 |
| Name | Role | Address |
|---|---|---|
| WOLLER NIKKI | President | 2735 SE 140TH PL, SUMMERFIELD, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| WOLLER NIKKI | Secretary | 2735 SE 140TH PL, SUMMERFIELD, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| WOLLER NIKKI | Director | 2735 SE 140TH PL, SUMMERFIELD, FL, 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000117575 | PEDATRIC BEHAVIORAL HEALTH INSTITUTE OF AMERICA | EXPIRED | 2014-11-21 | 2019-12-31 | No data | 1420 NW 2 AVE SUITE 10, BOCA RATON, FL, 33432 |
| G14000079715 | THE SEAL ACADEMY | EXPIRED | 2014-08-02 | 2019-12-31 | No data | SEAL THERAPEUTIC CORPORATION, 2263 NW 2ND AVE SUITE 210, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-16 | 5818 SE Agnew Road, Belleview, FL 34420 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 5818 SE Agnew Road, Belleview, FL 34420 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-20 | 5818 SE Agnew Road, Belleview, FL 34420 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Woller, Nikki, Phd | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
