| Entity Name: | MEDICAL BEHAVIORAL SERVICES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Nov 2016 (8 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P16000092731 |
| Address: | 6101 NINTH STREET NORTH, ST. PETERSBURG, FL, 33703 |
| Mail Address: | 6101 NINTH STREET NORTH, ST. PETERSBURG, FL, 33703, UN |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467990028 | 2017-02-03 | 2017-02-03 | 6101 9TH ST N, ST PETERSBURG, FL, 337031141, US | 6101 9TH ST N, ST PETERSBURG, FL, 337031141, US | |||||||||||||||||||||||||||
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| Phone | +1 727-800-9958 |
| Fax | 8555523776 |
Authorized person
| Name | DR. OSWALD WILLIAMS |
| Role | PRESIDENT |
| Phone | 7278009958 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME62503 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME62503 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS OSWALD AMD | Agent | 6101 NINTH STREET NORTH, ST. PETERSBURG, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS OSWALD AMD | President | 6101 NINTH STREET NORTH, ST. PETERSBURG, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2016-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
