| Entity Name: | PALMCOAST THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Apr 2017 (8 years ago) |
| Document Number: | P17000034373 |
| FEI/EIN Number | 82-1407257 |
| Address: | 14255 US Highway 1, Juno Beach, FL, 33406, US |
| Mail Address: | 14255 US Highway 1 ., Juno Beach, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780271254 | 2020-12-30 | 2020-12-30 | 2598 E SUNRISE BLVD STE 210-A, FT LAUDERDALE, FL, 333043230, US | 2598 E SUNRISE BLVD STE 210-A, FT LAUDERDALE, FL, 333043230, US | |||||||||||||
|
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| Phone | +1 954-309-3449 |
Authorized person
| Name | ANDREA CAROLINE MALLEN |
| Role | PRESIDENT/CEO |
| Phone | 9543093449 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALLEN ANDREA C | Agent | 14255 US Highway 1, Juno Beach, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| MALLEN ANDREA C | President | 14255 US Highway 1, Juno Beach, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-19 | 14255 US Highway 1, Suite 226, Juno Beach, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-19 | 14255 US Highway 1, Suite 226, Juno Beach, FL 33406 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-19 | MALLEN, ANDREA C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-19 | 14255 US Highway 1, Suite 226, Juno Beach, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-08-17 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-01-22 |
| Domestic Profit | 2017-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
