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JUDY L. GUNN, LCSW, P.A.

Company Details

Entity Name: JUDY L. GUNN, LCSW, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Jul 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Jan 2023 (2 years ago)
Document Number: P17000064625
FEI/EIN Number 82-2361783
Address: 111 N. Pompano Beach Blvd, Pompano Beach, FL, 33062, US
Mail Address: 111 N. Pompano Beach Blvd, Pompano Beach, FL, 33062, US
ZIP code: 33062
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437712312 2019-04-17 2019-04-17 111 N POMPANO BEACH BLVD APT 511, POMPANO BEACH, FL, 330625742, US 2003 W CYPRESS CREEK RD STE 109, FORT LAUDERDALE, FL, 333091834, US

Contacts

Phone +1 248-219-3624

Authorized person

Name PATTY GEORGE
Role CREDENTIALING
Phone 3214301090

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
Gunn Judy L Agent 111 N. Pompano Beach Blvd, Pompano Beach, FL, 33062

President

Name Role Address
GUNN JUDY L President 111 N. Pompano Beach Blvd, Pompano Beach, FL, 33062

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-01-27 No data No data
REGISTERED AGENT NAME CHANGED 2023-01-27 Gunn, Judy L No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-05-01 111 N. Pompano Beach Blvd, Apt 511, Pompano Beach, FL 33062 No data
CHANGE OF MAILING ADDRESS 2021-05-01 111 N. Pompano Beach Blvd, Apt 511, Pompano Beach, FL 33062 No data
REGISTERED AGENT ADDRESS CHANGED 2021-05-01 111 N. Pompano Beach Blvd, Apt 511, Pompano Beach, FL 33062 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
REINSTATEMENT 2023-01-27
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-27
Domestic Profit 2017-07-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State