| Entity Name: | POTENTIAL PSYCHOLOGICAL SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jun 2015 (10 years ago) |
| Document Number: | P15000050341 |
| FEI/EIN Number | 47-4247404 |
| Address: | 13220 SCHARBER ROAD, DADE CITY, FL, 33525 |
| Mail Address: | 13220 SCHARBER ROAD, DADE CITY, FL, 33525 |
| ZIP code: | 33525 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992186399 | 2015-06-11 | 2015-06-11 | 13220 SCHARBER RD, DADE CITY, FL, 335258008, US | 13220 SCHARBER RD, DADE CITY, FL, 335258008, US | |||||||||||||||||
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| Phone | +1 352-588-5135 |
Authorized person
| Name | MR. DARYL D. BOZONE |
| Role | PRESIDENT |
| Phone | 3525885135 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW8851 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOZONE DARYL D | Agent | 13220 SCHARBER ROAD, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| BOZONE DARYL D | President | 13220 SCHARBER ROAD, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| BOZONE AMBERLEY H | Vice President | 13220 SCHARBER ROAD, DADE CITY, FL, 33525 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-10 |
| Domestic Profit | 2015-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
