| Entity Name: | PETIT PSYCHIATRY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Nov 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2023 (a year ago) |
| Document Number: | P22000088053 |
| FEI/EIN Number | 92-1114903 |
| Address: | 6801 LAKE WORTH ROAD, 213, GREENARCES, FL 33463 |
| Mail Address: | 6801 LAKE WORTH ROAD, 213, GREENARCES, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982313508 | 2022-11-22 | 2024-05-19 | 6801 LAKE WORTH RD STE 213, GREENACRES, FL, 334672966, US | 6801 LAKE WORTH RD STE 213, GREENACRES, FL, 334672966, US | |||||||||||||||
|
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| Phone | +1 561-576-7879 |
| Fax | 8664501704 |
Authorized person
| Name | EBONY DAVIS |
| Role | PRESIDENT |
| Phone | 2052005110 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETIT, EBONY R | Agent | 6724 161 STREET, 5K, FRESH MEADOWS, FL 11365 |
| Name | Role | Address |
|---|---|---|
| PETIT, EBONY R | President | 6724 161 STREET, 5K FRESH MEADOWS 11365 UN |
| Name | Role | Address |
|---|---|---|
| PETIT, JETHRO | Vice President | 6724 161 STREET, 5K, 5K FRESH MEADOWS 11365 UN |
| Name | Role | Address |
|---|---|---|
| Petit, Ebony | Secretary | 6724 161 STREET, 5k FRESH MEADOWS 11365 UN |
| Name | Role | Address |
|---|---|---|
| PETIT, JETHRO | Treasurer | 6724 161 STREET, 5k FRESH MEADOWS 11365 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-01 | 6801 LAKE WORTH ROAD, 213, GREENARCES, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-01 | 6801 LAKE WORTH ROAD, 213, GREENARCES, FL 33463 | No data |
| REINSTATEMENT | 2023-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-27 | PETIT, EBONY R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-02-01 |
| REINSTATEMENT | 2023-09-27 |
| Domestic Profit | 2022-11-22 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
