| Entity Name: | HOLLIS SILVERMAN, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jan 2015 (10 years ago) |
| Document Number: | P15000009097 |
| FEI/EIN Number | 47-2976450 |
| Address: | 111 EUBANKS COURT, WOODSTOCK, GA 30188 |
| Mail Address: | 111 EUBANKS COURT, WOODSTOCK, GA 30188 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629457874 | 2015-05-20 | 2023-12-08 | 111 EUBANKS CT, WOODSTOCK, GA, 301881903, US | 621 NW 53RD ST STE 125, BOCA RATON, FL, 334878236, US | |||||||||||||||||
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| Phone | +1 954-663-2475 |
Authorized person
| Name | HOLLIS WIDDEKIND |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 9546632475 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW 12779 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRALONGO, RACHEL | Agent | 8623 CYPRESS SPRINGS ROAD, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| WIDDEKIND, HOLLIS | PRESIDENT | 111 EUBANKS COURT, WOODSTOCK, GA 30188 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-03 | TRALONGO, RACHEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 8623 CYPRESS SPRINGS ROAD, LAKE WORTH, FL 33467 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-07 | 111 EUBANKS COURT, WOODSTOCK, GA 30188 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-07 | 111 EUBANKS COURT, WOODSTOCK, GA 30188 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-04-26 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-29 |
| Domestic Profit | 2015-01-28 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
