| Entity Name: | DIANE M. WALKER, PSY. D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Nov 1992 (32 years ago) |
| Document Number: | P92000007550 |
| FEI/EIN Number | 650382538 |
| Address: | DIANE WALKER, 6655 US HWY 1, GRANT, FL, 32949, US |
| Mail Address: | DIANE WALKER, 6655 US HWY 1, GRANT, FL, 32949, US |
| ZIP code: | 32949 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669727772 | 2012-07-16 | 2012-07-16 | 6655 S US HIGHWAY 1, GRANT, FL, 329492221, US | 6655 S US HIGHWAY 1, GRANT, FL, 329492221, US | |||||||||||||||||||
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| Phone | +1 321-696-3325 |
| Phone | +1 321-693-3325 |
Authorized person
| Name | MRS. JANE CROWTHER |
| Role | OFFICE MANAGER |
| Phone | 7726962233 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY5049 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALKER DIANE M | Agent | 6655 US HWY 1, GRANT, FL, 32949 |
| Name | Role | Address |
|---|---|---|
| WALKER BENJAMIN R | Secretary | 6655 US HWY 1, GRANT, FL, 32949 |
| WALKER DIANE M | Secretary | 6655 US HWY 1, GRANT, FL, 32949 |
| Name | Role | Address |
|---|---|---|
| WALKER DIANE M | President | 6655 US HWY 1, GRANT, FL, 32949 |
| Name | Role | Address |
|---|---|---|
| WALKER JOSHUA J | Treasurer | 6655 US HWY 1, GRANT, FL, 32949 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 1999-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| REINSTATEMENT | 1995-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| REINSTATEMENT | 1994-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
