| Entity Name: | FAMILY PSYCHIATRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Mar 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P11000029523 |
| FEI/EIN Number | 45-1166338 |
| Address: | 5294 Summerlin Commons Way, SUITE 1201, FORT MYERS, FL 33907 |
| Mail Address: | 5031 HARBORTOWN LN, FORT MYERS, FL 33919 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134419872 | 2011-04-14 | 2011-04-14 | 5031 HARBORTOWN LN, FORT MYERS, FL, 339194650, US | 12641 WORLD PLAZA LN, SUITE 56, FORT MYERS, FL, 339073990, US | |||||||||||||||||||||||||
|
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| Phone | +1 239-220-3543 |
Authorized person
| Name | DR. MARIANNE G KROUK |
| Role | DIRECTOR OF CORPORATION |
| Phone | 2392203543 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | OS10199 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | OS10199 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KROUK, MARIANNE GDO | Agent | 5031 HARBORTOWN LN, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| KROUK, MARIANNE G, DO | President | 5294 Summerlin Commons Way, Suite 1201 FORT MYERS, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-04 | 5294 Summerlin Commons Way, SUITE 1201, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-03-13 |
| ANNUAL REPORT | 2012-04-17 |
| Domestic Profit | 2011-03-24 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
