| Entity Name: | JOHN HENDERSHOT, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Jun 1993 (32 years ago) |
| Document Number: | P93000038892 |
| FEI/EIN Number | 59-3185527 |
| Address: | 14502 N. Dale Mabry, Suite 200, TAMPA, FL 33618 |
| Mail Address: | 14502 N. Dale Mabry, Suite 200, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134293343 | 2006-11-20 | 2020-08-22 | 5221 EHRLICH RD STE A, TAMPA, FL, 336242006, US | 5221 EHRLICH RD, SUITE A, TAMPA, FL, 336242006, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-265-4811 |
| Fax | 8132770202 |
Authorized person
| Name | JOHN HENDERSHOT |
| Role | PRESIDENT |
| Phone | 8132654811 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY4314 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HENDERSHOT, JOHN | Agent | 14502 N. Dale Mabry, Suite 200, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| HENDERSHOT, JOHN | President | 14502 N. Dale Mabry, Suite 200 TAMPA, FL 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-27 | 14502 N. Dale Mabry, Suite 200, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-27 | 14502 N. Dale Mabry, Suite 200, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-27 | 14502 N. Dale Mabry, Suite 200, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-15 | HENDERSHOT, JOHN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-06-17 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
