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CENTRAL FLORIDA GERIATRIC PSYCHIATRY, INC.

Company Details

Entity Name: CENTRAL FLORIDA GERIATRIC PSYCHIATRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 2009 (16 years ago)
Document Number: P09000006763
FEI/EIN Number 264093975
Address: 425 W COLONIAL DRIVE, ORLANDO, FL, 32804, US
Mail Address: P.O. BOX 940578, MAITLAND, FL, 32794
ZIP code: 32804
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609191956 2010-03-30 2011-01-21 PO BOX 940578, MAITLAND, FL, 327940578, US 425 W COLONIAL DR, SUITE 302, ORLANDO, FL, 328046863, US

Contacts

Phone +1 407-362-5459
Fax 4073625472

Authorized person

Name LUIS ALLEN
Role PRESIDENT
Phone 4073625459

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes
Taxonomy Code 2084P0805X - Geriatric Psychiatry Physician
Is Primary No

Agent

Name Role Address
Starkey Karla Agent 457 Lake Howell Road, Maitland, FL, 32751

President

Name Role Address
ALLEN LUIS G President P.O. BOX 940578, MAITLAND, FL, 32794

Vice President

Name Role Address
WILLIAMS ALLEN MAXINE E Vice President P.O. BOX 940578, MAITLAND, FL, 32794

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-28 425 W COLONIAL DRIVE, SUITE# 302, ORLANDO, FL 32804 No data
REGISTERED AGENT NAME CHANGED 2023-04-28 Starkey, Karla No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-10 457 Lake Howell Road, Maitland, FL 32751 No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-05-13
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-04-01
ANNUAL REPORT 2017-04-16
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State