| Entity Name: | PSYCHDYNAMICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 May 2011 (14 years ago) |
| Date of dissolution: | 20 Dec 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Dec 2022 (2 years ago) |
| Document Number: | P11000048322 |
| FEI/EIN Number | 452677816 |
| Address: | 1810 NW 23rd Blvd, Gainesville, FL, 32605, US |
| Mail Address: | 1810 NW 23rd Blvd, Gainesville, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982948337 | 2012-11-23 | 2012-11-23 | 1209 NW 12TH AVE, GAINESVILLE, FL, 326014113, US | 1209 NW 12TH AVE, GAINESVILLE, FL, 326014113, US | |||||||||||||||||||||||||
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| Phone | +1 352-376-4111 |
| Fax | 3523764122 |
Authorized person
| Name | EVE A HERSHBERGER |
| Role | PRESIDENT |
| Phone | 3523595709 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0055296 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 063304600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERSHBERGER EVE A | Agent | 1810 NW 23rd Blvd, Gainesville, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| HERSHBERGER EVE A | President | 1810 NW 23rd Blvd, Gainesville, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| HERSHBERGER EVE A | Director | 1810 NW 23rd Blvd, Gainesville, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-21 | 1810 NW 23rd Blvd, Suite #210, Gainesville, FL 32605 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-21 | 1810 NW 23rd Blvd, Suite #210, Gainesville, FL 32605 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-25 | 1810 NW 23rd Blvd, Suite #210, Gainesville, FL 32605 | No data |
| NAME CHANGE AMENDMENT | 2012-08-17 | PSYCHDYNAMICS, P.A. | No data |
| NAME CHANGE AMENDMENT | 2012-07-12 | PSYCHODYNAMICS, PA | No data |
| NAME CHANGE AMENDMENT | 2012-06-25 | PSYCHODYNAMIC, P.A. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-20 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-28 |
| Reg. Agent Change | 2015-12-14 |
| ANNUAL REPORT | 2015-08-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
