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PRIVATE PSYCHIATRY OF SOUTH WEST FLORIDA, INC. - Florida Company Profile

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Company Details

Entity Name: PRIVATE PSYCHIATRY OF SOUTH WEST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 May 2016 (9 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P16000044882
FEI/EIN Number 81-3026977
Address: 5454 LENA RD., STE.106, BRADENTON, FL, 34211, US
Mail Address: 5454 LENA RD., STE.106, BRADENTON, FL, 34211, US
ZIP code: 34211
City: Bradenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CASE CAROLYN President 5454 LENA RD. SUITE #106, BRADENTON, FL, 34211
CASE CAROLYN Agent 5454 LENA RD., BRADENTON, FL, 34211
CASE CAROLYN Director 5454 LENA RD. SUITE #106, BRADENTON, FL, 34211

National Provider Identifier

NPI Number:
1811432610

Authorized Person:

Name:
KEVIN CASE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
9412014856

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
AMENDMENT 2017-06-05 - -
REGISTERED AGENT NAME CHANGED 2017-06-05 CASE, CAROLYN -
REGISTERED AGENT ADDRESS CHANGED 2017-06-05 5454 LENA RD., BRADENTON, FL 34211 -

Documents

Name Date
Amendment 2017-06-05
ANNUAL REPORT 2017-03-07
Domestic Profit 2016-05-16

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Date of last update: 01 Aug 2025

Sources: Florida Department of State