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MENTAL HEALTH CENTER OF FLORIDA, PA

Company Details

Entity Name: MENTAL HEALTH CENTER OF FLORIDA, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Aug 2016 (8 years ago)
Date of dissolution: 25 Jul 2022 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 25 Jul 2022 (3 years ago)
Document Number: P16000069681
FEI/EIN Number 813623816
Address: 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 33316, US
Mail Address: 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 33316, US
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679021414 2016-09-21 2019-06-28 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 333162875, US 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 333162875, US

Contacts

Phone +1 954-885-9500
Fax 9548859444

Authorized person

Name ANN MONIS
Role PRESIDENT
Phone 9548859500

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No

Agent

Name Role Address
MONIS ANN Agent 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 33316

President

Name Role Address
MONIS ANN President 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
CONVERSION 2022-07-25 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L22000337778. CONVERSION NUMBER 300000229213

Documents

Name Date
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-28
Domestic Profit 2016-08-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State