| Entity Name: | PPCC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Feb 2010 (15 years ago) |
| Document Number: | P10000017097 |
| FEI/EIN Number | 271984768 |
| Address: | 259 EAST OAKDALE AVE, CRESTVIEW, FL, 32539, US |
| Mail Address: | 877 THE MASTERS BLVD, SHALIMAR, FL, 32579, US |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164747739 | 2010-04-07 | 2024-05-21 | 259 E OAKDALE AVE, CRESTVIEW, FL, 325393547, US | 259 E OAKDALE AVE, CRESTVIEW, FL, 325393547, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-398-5255 |
| Fax | 8506898799 |
Authorized person
| Name | MS. SUSAN M PAGE |
| Role | PRESIDENT |
| Phone | 8506821234 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH3244 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH3313 |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH5026 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY7250 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Page Susan M | Agent | 259 East Oakdale Ave, CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| PAGE SUSAN | Director | 877 THE MASTERS BLVD, SHALIMAR, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| Bortnyik Rebecca | Treasurer | 259 East Oakdale Ave, CRESTVIEW, FL, 32539 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000050916 | MEDIATION SOLUTIONS | ACTIVE | 2013-05-31 | 2028-12-31 | No data | 877 THE MASTERS BLVD, SHALIMAR, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-23 | 259 East Oakdale Ave, CRESTVIEW, FL 32539 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-17 | Page, Susan M | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-22 | 259 EAST OAKDALE AVE, CRESTVIEW, FL 32539 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-23 |
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
