| Entity Name: | DAVID S. PETERS, PHD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jan 2020 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P20000010568 |
| FEI/EIN Number | 22-2521575 |
| Address: | 2501 S Tamiami Trail, SARASOTA, FL, 34239, US |
| Mail Address: | 2501 S Tamiami Trail, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417252156 | 2011-01-11 | 2011-01-11 | 73 S PALM AVE, SUITE 215, SARASOTA, FL, 342365638, US | 73 S PALM AVE, SUITE 215, SARASOTA, FL, 342365638, US | |||||||||||||||||||
|
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| Phone | +1 941-952-5200 |
| Fax | 9413785808 |
Authorized person
| Name | DAVID S PETERS |
| Role | OWNER |
| Phone | 9419525200 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY3752 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETERS DAVID S | Agent | 2501 S Tamiami Trail, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| PETERS DAVID S | President | 2501 S Tamiami Trail, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| PETERS DAVID S | Chairman | 2501 S Tamiami Trail, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 2501 S Tamiami Trail, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 2501 S Tamiami Trail, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-02 | 2501 S Tamiami Trail, SARASOTA, FL 34239 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-13 |
| Domestic Profit | 2020-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
