| Entity Name: | VALARIE A. KAGER, PH.D, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Dec 2010 (14 years ago) |
| Date of dissolution: | 03 Jul 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Jul 2022 (3 years ago) |
| Document Number: | P11000000036 |
| FEI/EIN Number | 27-4428304 |
| Address: | 3457 Brook Crossing Drive, Brandon, FL 33511 |
| Mail Address: | 3457 Brook Crossing Drive, Brandon, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760800817 | 2014-04-04 | 2014-04-04 | 3457 BROOK CROSSING DR, BRANDON, FL, 335118181, US | 3457 BROOK CROSSING DR, BRANDON, FL, 335118181, US | |||||||||||||||||||||||
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| Phone | +1 813-655-5550 |
| Fax | 8136005503 |
Authorized person
| Name | VALARIE KAGER |
| Role | PRESIDENT |
| Phone | 8136555550 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | PY5566 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1275587693 |
| Name | Role | Address |
|---|---|---|
| BIVINS, ROBERT W | Agent | 1060 BLOOMINGDALE AVE, VALRICO, FL 33596 |
| Name | Role | Address |
|---|---|---|
| KAGER, VALARIE A | Director | 3457 Brook Crossing Drive, Brandon, FL 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000010070 | BRANDON AREA PSYCHOLOGY ASSOCIATES | EXPIRED | 2011-01-25 | 2016-12-31 | No data | 1074 BLOOMINGDALE AVE, VALRICO, FL, 33596 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-07-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-21 | 3457 Brook Crossing Drive, Brandon, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-21 | 3457 Brook Crossing Drive, Brandon, FL 33511 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-07-03 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-04-21 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
