| Entity Name: | ANA SANTANA, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Apr 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Oct 2024 (4 months ago) |
| Document Number: | P16000035033 |
| FEI/EIN Number | 81-2327898 |
| Address: | 292 S UNIVERSITY DRIVE,, STE 292, PLANTATION, FL, 33324, US |
| Mail Address: | 1804 LEWIS TURNER BLVD,, STE 400, FORT WALTON BEACH, FL, 32547, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245684091 | 2016-04-18 | 2019-04-24 | 900 ALABAMA AVE, FORT LAUDERDALE, FL, 333127326, US | 292 S UNIVERSITY DR, PLANTATION, FL, 333243308, US | |||||||||||||||||||||
|
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| Phone | +1 954-895-0409 |
| Phone | +1 954-579-4096 |
| Fax | 8333753114 |
Authorized person
| Name | ANA TERESA SANTANA |
| Role | CLINICAL NEUROPSYCHOLOGIST |
| Phone | 8504990759 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY9518 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANTANA ANA DR. | Agent | 1804 Lewis Turner Blvd, Fort Walton Beach, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| SANTANA ANA | President | 1804 Lewis Turner Blvd, FORT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| ELMORE RODNEY | Vice President | 1804 Lewis Turner blvd, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 1804 Lewis Turner Blvd, Ste 400, Fort Walton Beach, FL 32547 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 292 S UNIVERSITY DRIVE,, STE 292, PLANTATION, FL 33324 | No data |
| REINSTATEMENT | 2020-01-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-22 | 292 S UNIVERSITY DRIVE,, STE 292, PLANTATION, FL 33324 | No data |
| REINSTATEMENT | 2018-01-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-30 | SANTANA, ANA, DR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-15 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-05-17 |
| REINSTATEMENT | 2020-01-28 |
| REINSTATEMENT | 2018-01-30 |
| Domestic Profit | 2016-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
