| Entity Name: | SEASIDE PSYCHOLOGY SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Jan 2009 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P09000004077 |
| Address: | 2837 MAYFLOWER LOOP, CLERMONT, FL 34714 |
| Mail Address: | 2837 MAYFLOWER LOOP, CLERMONT, FL 34714 |
| ZIP code: | 34714 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134367980 | 2009-02-02 | 2009-02-02 | 2837 MAYFLOWER LOOP, CLERMONT, FL, 347145071, US | 2837 MAYFLOWER LOOP, CLERMONT, FL, 347145071, US | |||||||||||||||||
|
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| Phone | +1 352-255-5023 |
Authorized person
| Name | DR. SUSAN ELIZABETH BROGAN |
| Role | PRESIDENT |
| Phone | 3522555023 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY7782 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROGAN, SUSAN E | Agent | 2837 MAYFLOWER LOOP, CLERMONT, FL 34714 |
| Name | Role | Address |
|---|---|---|
| BROGAN, SUSAN E | President | 2837 MAYFLOWER LOOP, CLERMONT, FL 34714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2009-01-14 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
