| Entity Name: | MICHELLE MANTILLA, PSY.D, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Apr 2017 (8 years ago) |
| Document Number: | P17000030782 |
| FEI/EIN Number | 82-1101903 |
| Address: | 7530 NW 108th Ave, Parkland, FL 33076 |
| Mail Address: | 7530 NW 108th Ave, Parkland, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MANTILLA, MICHELLE, PSY.D. | Agent | 7530 NW 108th Ave, Parkland, FL 33076 |
| Name | Role | Address |
|---|---|---|
| MANTILLA, MICHELLE, PSY.D. | President | 7530 NW 108th Ave, Parkland, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-24 | 7530 NW 108th Ave, Parkland, FL 33076 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-10 | 7530 NW 108th Ave, Parkland, FL 33076 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-10 | 7530 NW 108th Ave, Parkland, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-03-10 |
| Domestic Profit | 2017-04-04 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
