| Entity Name: | AMY FODOR, LCSW, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Aug 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P11000069022 |
| FEI/EIN Number | 45-2900499 |
| Address: | 1940 10th Ave, Suite B, VERO BEACH, FL 32960 |
| Mail Address: | 7040 61st Street, Vero Beach, FL 32967 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154602878 | 2011-09-08 | 2011-09-08 | 801 GRANDIN AVE, SEBASTIAN, FL, 329585125, US | 699 17TH ST, SUITE D, VERO BEACH, FL, 329606251, US | |||||||||||||||||||
|
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| Phone | +1 772-766-2069 |
| Fax | 7729188468 |
Authorized person
| Name | MRS. AMY ELIZABETH FODOR |
| Role | PRESIDENT |
| Phone | 7727662069 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW3798 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FODOR, AMY E | Agent | 7040 61st Street, Vero Beach, FL 32967 |
| Name | Role | Address |
|---|---|---|
| FODOR, AMY E | President | 7040 61st Street, Vero Beach, FL 32967 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-31 | 1940 10th Ave, Suite B, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-31 | 1940 10th Ave, Suite B, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-31 | 7040 61st Street, Vero Beach, FL 32967 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-03-01 |
| ANNUAL REPORT | 2014-04-19 |
| ANNUAL REPORT | 2013-03-31 |
| ANNUAL REPORT | 2012-02-05 |
| Domestic Profit | 2011-08-02 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
