| Entity Name: | LEE A. GREEN PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Feb 1998 (27 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P98000018568 |
| FEI/EIN Number | 650820911 |
| Address: | 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL, 34239, US |
| Mail Address: | 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356524367 | 2007-12-12 | 2008-02-19 | 2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL, 342392635, US | 2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL, 342392635, US | |||||||||||||||||||
|
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| Phone | +1 941-951-6504 |
| Fax | 9419516433 |
Authorized person
| Name | DR. LEE A. GREEN |
| Role | PRESIDENT |
| Phone | 9419516504 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | PY5323 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREEN LEE A | Agent | 2650 BAHIA VISTA ST, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| GREEN LEE A | President | 2650 BAHIA VISTA ST ,STE 201, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| GREEN LEE A | Secretary | 2650 BAHIA VISTA ST ,STE 201, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| GREEN LEE A | Treasurer | 2650 BAHIA VISTA ST ,STE 201, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| GREEN LEE A | Director | 2650 BAHIA VISTA ST ,STE 201, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| FANGUE HOWARD J | Vice President | 2650 BAHIA VISTA ST., ST. 201, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-23 | 2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL 34239 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-20 | 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-20 | 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-03-02 | GREEN, LEE APHD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-02 |
| ANNUAL REPORT | 2012-02-01 |
| ANNUAL REPORT | 2011-01-15 |
| ANNUAL REPORT | 2010-02-15 |
| ANNUAL REPORT | 2009-01-23 |
| ANNUAL REPORT | 2008-01-11 |
| ANNUAL REPORT | 2007-01-21 |
| ANNUAL REPORT | 2006-01-31 |
| ANNUAL REPORT | 2005-01-20 |
| ANNUAL REPORT | 2004-04-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
