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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MURDOCK JOHN S | Agent | 800 NE 13TH ST, FORT LAUDERDALE, FL, 33304 |
Name | Role | Address |
---|---|---|
Murdock John S | Chief Executive Officer | 2700 Northeast 9th Avenue, Pompano Beach, FL, 33064 |
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 |
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