| Entity Name: | PANTIN PSYCHIATRY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Aug 2011 (13 years ago) |
| Document Number: | P11000072848 |
| FEI/EIN Number | 453000462 |
| Address: | 4111 16th Blvd, Box 357547, Gainesville, FL, 32605, US |
| Mail Address: | PO Box 357547, Gainesville, FL, 32635-7547, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720358237 | 2012-01-01 | 2012-01-01 | 5200 NW 43RD ST, SUITE 102-334, GAINESVILLE, FL, 326064484, US | 5200 NW 43RD ST, SUITE 102-334, GAINESVILLE, FL, 326064484, US | |||||||||||||||||
|
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| Phone | +1 352-256-8220 |
Authorized person
| Name | LESLEY-ANN BERNARD-PANTIN |
| Role | PRESIDENT |
| Phone | 3522568220 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME 81744 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERNARD-PANTIN LESLEY-ANN | Agent | 4111 16th Blvd, Gainesville, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| BERNARD-PANTIN LESLEY-ANN | President | 4111 16th Blvd, Gainesville, FL, 32605 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000081841 | L. BERNARD PANTIN MD | ACTIVE | 2011-08-17 | 2026-12-31 | No data | 5200 NW 43RD ST, SUITE 102-334, GAINSEVILLE, FL, 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-02 | 4111 16th Blvd, Box 357547, Gainesville, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-02 | 4111 16th Blvd, Box 357547, Gainesville, FL 32605 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-02 | 4111 16th Blvd, Box 357547, Gainesville, FL 32605 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-18 | BERNARD-PANTIN, LESLEY-ANN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
