| Entity Name: | STEPHANIE DUTTON, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Oct 2016 (8 years ago) |
| Date of dissolution: | 19 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Jan 2018 (7 years ago) |
| Document Number: | P16000086720 |
| FEI/EIN Number | 81-4282652 |
| Address: | 11 W 23RD STREET, SUITE D-1, PANAMA CITY, FL, 32405 |
| Mail Address: | 11 W 23RD STREET, SUITE D-1, PANAMA CITY, FL, 32405 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073055232 | 2016-11-04 | 2018-06-20 | 11 W 23RD ST BLDG D1, PANAMA CITY, FL, 324054553, US | 11 W 23RD ST BLDG D1, PANAMA CITY, FL, 324054553, US | |||||||||||||||||||
|
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| Phone | +1 850-832-6724 |
| Fax | 8507692366 |
Authorized person
| Name | MS. STEPHANIE S DUTTON |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 8508326724 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8095 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUTTON STEPHANIE | Agent | 11 W 23RD STREET, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| DUTTON STEPHANIE | President | 242 WILSON AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| DUTTON STEPHANIE | Vice President | 242 WILSON AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| DUTTON STEPHANIE | Secretary | 242 WILSON AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| DUTTON STEPHANIE | Treasurer | 242 WILSON AVE, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-20 |
| Domestic Profit | 2016-10-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
