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