| Entity Name: | KIMBERLY W. MILLER PSY.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Sep 2013 (11 years ago) |
| Last Event: | ARTICLES OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 18 Sep 2013 (11 years ago) |
| Document Number: | P13000075080 |
| FEI/EIN Number | 46-3617794 |
| Address: | 3457 Brook Crossing Dr, Brandon, FL, 33511, US |
| Mail Address: | 3457 Brook Crossing Dr, Brandon, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275969453 | 2013-09-19 | 2013-11-21 | 3457 BROOK CROSSING DR, BRANDON, FL, 33511, US | 3457 BROOK CROSSING DR, BRANDON, FL, 335118181, US | |||||||||||||||||
|
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| Phone | +1 510-708-5973 |
Authorized person
| Name | KIMBERLY W MILLER |
| Role | PRESIDENT |
| Phone | 5107085973 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8794 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER KIMBERLY W | Agent | 3457 Brook Crossing Dr, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| MILLER KIMBERLY W | President | 3457 Brook Crossing Dr, Brandon, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-21 | 3457 Brook Crossing Dr, Brandon, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-21 | 3457 Brook Crossing Dr, Brandon, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-21 | 3457 Brook Crossing Dr, Brandon, FL 33511 | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2013-09-18 | KIMBERLY W. MILLER PSY.D.,P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
