| Entity Name: | GULFSIDE BEHAVIORAL CARE NP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Apr 2015 (10 years ago) |
| Document Number: | P15000036207 |
| FEI/EIN Number | 47-3815176 |
| Address: | 3914 State Road 64 East, BRADENTON, FL 34208 |
| Mail Address: | 3914 State Road 64 East, BRADENTON, FL 34208 |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659768950 | 2015-04-24 | 2023-02-10 | 3902 E STATE ROAD 64, BRADENTON, FL, 342089059, US | 3902 E STATE ROAD 64, BRADENTON, FL, 342089059, US | |||||||||||||||||||
|
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| Phone | +1 941-756-1200 |
| Fax | 9417399358 |
Authorized person
| Name | CATHERINE I MCDERMOTT |
| Role | OWNER |
| Phone | 8602504522 |
Taxonomy
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCDERMOTT, JOHN Kennedy | Agent | 615 Dream Island Rd., Unit 211, Longboat Key, FL 34228 |
| Name | Role | Address |
|---|---|---|
| MCDERMOTT, CATHERINE I | President | 615 Dream Island Rd., Unit 211 Longboat Key, FL 34228 |
| Name | Role | Address |
|---|---|---|
| MCDERMOTT, JOHN K | Vice President | 615 Dream Island Rd., Unit 211 Longboat Key, FL 34228 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 615 Dream Island Rd., Unit 211, Longboat Key, FL 34228 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-10 | 3914 State Road 64 East, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-10 | 3914 State Road 64 East, BRADENTON, FL 34208 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-10 | MCDERMOTT, JOHN Kennedy | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-04-30 |
| Domestic Profit | 2015-04-21 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
