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SUNSHINE AUTISM CENTER, INC.

Company Details

Entity Name: SUNSHINE AUTISM CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jan 2023 (2 years ago)
Document Number: P23000003171
FEI/EIN Number 92-1637372
Address: 15310 Amberly Drive, Ste 175, Tampa, FL, 33647, US
Mail Address: 15310 Amberly Drive, Ste 175, Tampa, FL, 33647, US
ZIP code: 33647
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467138628 2023-06-23 2024-01-12 15310 AMBERLY DR STE 175, TAMPA, FL, 336471640, US 26844 TANIC DR, WESLEY CHAPEL, FL, 335444616, US

Contacts

Phone +1 813-389-9831

Authorized person

Name WILLIAM LUCAS
Role OWNER
Phone 8004342582

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
PISCULLI JESSICA A Agent 15310 Amberly Drive, TAMPA, FL, 33647

Chief Executive Officer

Name Role Address
LUCAS MARK W Chief Executive Officer 15310 AMBERLY DRIVE, TAMPA, FL, 33647

President

Name Role Address
LUCAS WILLIAM C President 15310 AMBERLY DRIVE, STE 175, TAMPA, FL, 33647

Vice President

Name Role Address
PISCULLI JESSICA A Vice President 15310 AMBERLY DRIVE, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-25 15310 Amberly Drive, Ste 175, Tampa, FL 33647 No data
CHANGE OF MAILING ADDRESS 2024-01-25 15310 Amberly Drive, Ste 175, Tampa, FL 33647 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-25 15310 Amberly Drive, STE 175, TAMPA, FL 33647 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
Domestic Profit 2023-01-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State