| Entity Name: | BASSI MENTAL HEALTH PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BASSI MENTAL HEALTH PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Jan 2021 (4 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 26 Oct 2021 (4 years ago) |
| Document Number: | P21000019977 |
| FEI/EIN Number |
82-4049258
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12058 SAN JOSE BLVD STE 202, JACKSONVILLE, FL, 32223 |
| Mail Address: | 1820 STATE ROAD 13, STE 11-926, JACKSONVILLE, FL, 32259 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013425586 | 2018-01-17 | 2024-06-04 | 12058 SAN JOSE BLVD STE 202, JACKSONVILLE, FL, 322238669, US | 1820 STATE ROAD 13 N STE 11-926, ST JOHNS, FL, 322598856, US | |||||||||||||||||||
|
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| Phone | +1 888-730-5220 |
| Fax | 8885248166 |
Authorized person
| Name | DR. BRUCE DANIEL BASSI |
| Role | MEDICAL DIRECTOR |
| Phone | 8887305220 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME129546 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON REGISTERED AGENTS, INC. | Agent | - |
| BASSI BRUCE | President | 1820 STATE ROAD 13 STE 11-926, SAINT JOHNS, FL, 322598856 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000019845 | TELEPSYCHHEALTH | ACTIVE | 2022-01-27 | 2027-12-31 | - | 1820 SR 13, STE 11-926, ST JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-07 | 12058 SAN JOSE BLVD STE 202, JACKSONVILLE, FL 32223 | - |
| CHANGE OF MAILING ADDRESS | 2022-03-07 | 12058 SAN JOSE BLVD STE 202, JACKSONVILLE, FL 32223 | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-07 | ANDERSON REGISTERED AGENTS, INC. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-07 | 625 E. TWIGGS STREET, SUITE 110, TAMPA, FL 33602 | - |
| AMENDMENT AND NAME CHANGE | 2021-10-26 | BASSI MENTAL HEALTH PA | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-01 |
| Reg. Agent Change | 2022-03-07 |
| Amendment and Name Change | 2021-10-26 |
| Domestic Profit | 2021-01-28 |
Date of last update: 02 May 2025
Sources: Florida Department of State
