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SOUTH FLORIDA MENTAL HEALTH SOLUTIONS, PA

Company Details

Entity Name: SOUTH FLORIDA MENTAL HEALTH SOLUTIONS, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 Mar 2020 (5 years ago)
Document Number: P20000021502
FEI/EIN Number 85-0681383
Address: 101 SE 19TH ST, FORT LAUDERDALE, FL 33316
Mail Address: 101 SE 19TH ST, FORT LAUDERDALE, FL 33316
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205455672 2020-04-15 2020-04-15 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 333162875, US 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 333162875, US

Contacts

Phone +1 954-885-9500
Fax 9548859444

Authorized person

Name JOHN TAR
Role PRESIDENT
Phone 9548859500

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No

Agent

Name Role Address
TAR, JOHN I Agent 101 SE 19TH ST, 1, FORT LAUDERDALE, FL 33316

President

Name Role Address
TAR, JOHN I President 101 SE 19TH ST, FORT LAUDERDALE, FL 33316

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-29
Domestic Profit 2020-03-05

Date of last update: 16 Jan 2025

Sources: Florida Department of State