| Entity Name: | CHARMAINE SCOTT P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2022 (3 years ago) |
| Document Number: | P22000034799 |
| FEI/EIN Number | 88-2275485 |
| Address: | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL, 33313 |
| Mail Address: | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL, 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225727290 | 2023-05-04 | 2023-05-04 | 1600 N STATE ROAD 7 STE 200, LAUDERHILL, FL, 333135853, US | 1600 N STATE ROAD 7 STE 200, LAUDERHILL, FL, 333135853, US | |||||||||||||||
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| Phone | +1 561-257-1274 |
| Fax | 5612103239 |
Authorized person
| Name | MS. CHARMAINE SCOTT |
| Role | PRESIDENT |
| Phone | 5619005338 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Scott Charmaine | Agent | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| CHARMAINE ANNMARIE SCOTT | President | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| CHARMAINE ANNMARIE SCOTT | Secretary | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| CHARMAINE ANNMARIE SCOTT | Director | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | Scott, Charmaine | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 1600 N STATE RD 7 STE 200, LAUDERHILL, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| Domestic Profit | 2022-05-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
