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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PISCULLI JESSICA A | Agent | 15310 Amberly Drive, TAMPA, FL, 33647 |
Name | Role | Address |
---|---|---|
LUCAS MARK W | Chief Executive Officer | 15310 AMBERLY DRIVE, TAMPA, FL, 33647 |
Name | Role | Address |
---|---|---|
LUCAS WILLIAM C | President | 15310 AMBERLY DRIVE, STE 175, TAMPA, FL, 33647 |
Name | Role | Address |
---|---|---|
PISCULLI JESSICA A | Vice President | 15310 AMBERLY DRIVE, TAMPA, FL, 33647 |
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 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-25 |
Domestic Profit | 2023-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State