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GULF COAST PSYCHOLOGY, INC.

Company Details

Entity Name: GULF COAST PSYCHOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 Jun 2013 (12 years ago)
Document Number: P13000048313
FEI/EIN Number 46-2912910
Address: 5290 Summerlin Commons Way, Suite 1002, FORT MYERS, FL 33907
Mail Address: 5290 Summerlin Commons Way, Suite 1002, FORT MYERS, FL 33907
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407281413 2013-09-09 2015-08-10 5237 SUMMERLIN COMMONS BLVD, SUITE 116, FORT MYERS, FL, 339072158, US 5237 SUMMERLIN COMMONS BLVD, SUITE 116, FORT MYERS, FL, 339072158, US

Contacts

Phone +1 239-274-7792
Fax 2392475344

Authorized person

Name DR. PASQUALE A CAPOZZOLI
Role OWNER
Phone 2392747792

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY8575
State FL
Is Primary Yes

Agent

Name Role Address
CAPOZZOLI, PASQUALE A Agent 5290 Summerlin Commons Way, Suite 1002, FORT MYERS, FL 33907

President

Name Role Address
CAPOZZOLI, PASQUALE A President 5290 Summerlin Commons Way, Suite 1002 FORT MYERS, FL 33907

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-11 5290 Summerlin Commons Way, Suite 1002, FORT MYERS, FL 33907 No data
CHANGE OF MAILING ADDRESS 2017-01-11 5290 Summerlin Commons Way, Suite 1002, FORT MYERS, FL 33907 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-11 5290 Summerlin Commons Way, Suite 1002, FORT MYERS, FL 33907 No data

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-15

Date of last update: 21 Feb 2025

Sources: Florida Department of State