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FLORIDA PSYCHIATRY SERVICES PA

Company Details

Entity Name: FLORIDA PSYCHIATRY SERVICES PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 26 Feb 2019 (6 years ago)
Document Number: P19000018514
FEI/EIN Number 32-0594122
Address: 576 111 Ave N, NAPLES, FL 34108
Mail Address: 576 111 Ave N, NAPLES, FL 34108
ZIP code: 34108
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285295915 2019-06-24 2019-06-24 818 ANCHOR RODE DR, NAPLES, FL, 341032739, US 818 ANCHOR RODE DR, NAPLES, FL, 341032739, US

Contacts

Phone +1 239-227-4289

Authorized person

Name MIRIAM MAITE SEVILLA SAEZ-BENITO
Role PSYCHIATRY
Phone 2272394289

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
SEVILLA, MIRIAM Agent 576 111 Ave N, NAPLES, FL 34108

President

Name Role Address
SEVILLA SAEZ-BENITO, MIRIAM M President 576, 111 Ave N NAPLES, FL 34108

Secretary

Name Role Address
SEVILLA SAEZ-BENITO, MIRIAM M Secretary 576, 111 Ave N NAPLES, FL 34108

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-26 576 111 Ave N, NAPLES, FL 34108 No data
CHANGE OF MAILING ADDRESS 2021-03-26 576 111 Ave N, NAPLES, FL 34108 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-26 576 111 Ave N, NAPLES, FL 34108 No data

Documents

Name Date
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-02-19
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-03-23
Domestic Profit 2019-02-26

Date of last update: 16 Feb 2025

Sources: Florida Department of State