| Entity Name: | SCOT D. MACHLUS, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jan 1998 (27 years ago) |
| Document Number: | P98000005473 |
| FEI/EIN Number | 593486199 |
| Address: | 10006 Cross Creek Blvd., Tampa, FL, 33647, US |
| Mail Address: | 10006 Cross Creek Blvd., Tampa, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285799403 | 2006-12-27 | 2020-08-22 | 13939 LAKESHORE BLVD, HUDSON, FL, 346677116, US | 13939 LAKESHORE BLVD, HUDSON, FL, 346677116, US | |||||||||||||||||||
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| Phone | +1 727-862-7171 |
| Fax | 7273725035 |
Authorized person
| Name | DR. SCOT D. MACHLUS |
| Role | PRESIDENT |
| Phone | 7278627171 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY4321 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MACHLUS SCOT D | Agent | 10006 Cross Creek Blvd., Tampa, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| MACHLUS SCOT D | Director | 10006 Cross Creek Blvd., Tampa, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-16 | 10006 Cross Creek Blvd., #521, Tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-16 | 10006 Cross Creek Blvd., #521, Tampa, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 10006 Cross Creek Blvd., #521, Tampa, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
