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JM PSYCHIATRY, INC

Company Details

Entity Name: JM PSYCHIATRY, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jun 2021 (4 years ago)
Document Number: P21000060170
FEI/EIN Number 87-1440286
Address: 14201 W Sunrise Blvd, Ste 208, sunrise, FL, 33323, US
Mail Address: 14201 W SUNRISE BLVD, SUNRISE, FL, 33323, US
ZIP code: 33323
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942975453 2021-08-16 2021-09-23 14201 W SUNRISE BLVD STE 208, SUNRISE, FL, 333233207, US 14201 W SUNRISE BLVD STE 208, SUNRISE, FL, 333233207, US

Contacts

Phone +1 954-851-9690

Authorized person

Name JOHN STEPHEN MURDOCK
Role CEO
Phone 9548519690

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
MURDOCK JOHN S Agent 800 NE 13TH ST, FORT LAUDERDALE, FL, 33304

Chief Executive Officer

Name Role Address
Murdock John S Chief Executive Officer 2700 Northeast 9th Avenue, Pompano Beach, FL, 33064

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-09-02 14201 W Sunrise Blvd, Ste 208, sunrise, FL 33323 No data
CHANGE OF MAILING ADDRESS 2021-09-01 14201 W Sunrise Blvd, Ste 208, sunrise, FL 33323 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-02-03
Domestic Profit 2021-06-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State