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MARSHA TARDIVO LCSW PA

Company Details

Entity Name: MARSHA TARDIVO LCSW PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 Feb 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Sep 2019 (5 years ago)
Document Number: P12000011679
FEI/EIN Number 26-1144169
Address: 4669 ISLAND REEF DR, WELLINGTON, FL 33449
Mail Address: 4669 ISLAND REEF DR, WELLINGTON, FL 33449
ZIP code: 33449
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578881926 2010-05-10 2010-05-10 4669 ISLAND REEF DR, WELLINGTON, FL, 334498398, US 1035 S STATE ROAD 7, SUITE 315-08, WELLINGTON, FL, 334146134, US

Contacts

Phone +1 561-452-0304
Fax 5612044177

Authorized person

Name MARSHA NICOLE TARDIVO
Role OWNER
Phone 5614520304

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW7709
State FL
Is Primary Yes

Agent

Name Role Address
TARDIVO, MARSHA Agent 4669 ISLAND REEF DR, WELLINGTON, FL 33449

President

Name Role Address
TARDIVO, MARSHA President 4669 ISLAND REEF DR, WELLINGTON, FL 33449

Secretary

Name Role Address
TARDIVO, MARSHA Secretary 4669 ISLAND REEF DR, WELLINGTON, FL 33449

Treasurer

Name Role Address
TARDIVO, MARSHA Treasurer 4669 ISLAND REEF DR, WELLINGTON, FL 33449

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-09-12 No data No data
REGISTERED AGENT NAME CHANGED 2019-09-12 TARDIVO, MARSHA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-03-30
REINSTATEMENT 2019-09-12
ANNUAL REPORT 2014-01-30
ANNUAL REPORT 2013-04-30
Domestic Profit 2012-02-03

Date of last update: 23 Jan 2025

Sources: Florida Department of State