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RENA STACY, PSY.D., PA

Company Details

Entity Name: RENA STACY, PSY.D., PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Jun 2008 (17 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P08000058435
FEI/EIN Number 262784093
Address: 466 WOLDUNN CIR, LAKE MARY, FL, 32746, US
Mail Address: 466 WOLDUNN CIR, LAKE MARY, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235381062 2008-10-10 2008-11-21 259 RIPPLING LN, WINTER PARK, FL, 327892841, US 259 RIPPLING LN, WINTER PARK, FL, 327892841, US

Contacts

Phone +1 561-702-9216

Authorized person

Name DR. RENA STACY
Role PSYCHOLOGIST
Phone 5617029216

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
STACY RENA Agent 466 WOLDUNN CIR, LAKE MARY, FL, 32746

Director

Name Role Address
STACY RENA Director 466 WOLDUNN CIR, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-04-26 466 WOLDUNN CIR, LAKE MARY, FL 32746 No data
CHANGE OF MAILING ADDRESS 2011-04-26 466 WOLDUNN CIR, LAKE MARY, FL 32746 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-26 466 WOLDUNN CIR, LAKE MARY, FL 32746 No data

Documents

Name Date
ANNUAL REPORT 2014-04-18
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-04-26
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-04-21
Domestic Profit 2008-06-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State