| Entity Name: | CARMEN CORNIDE, PSY.D, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CARMEN CORNIDE, PSY.D, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Mar 1998 (27 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 14 Oct 2009 (16 years ago) |
| Document Number: | P98000029127 |
| FEI/EIN Number |
65-0835985
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1601 N. PALM AVE, STE 208, PEMBROKE PINES, FL, 33026, US |
| Mail Address: | 1601 N. PALM AVE, STE 208, PEMBROKE PINES, FL, 33026, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952784225 | 2015-07-06 | 2015-07-07 | 1601 N PALM AVE, SUITE 300, PEMBROKE PINES, FL, 330263200, US | 1601 N PALM AVE, SUITE 300, PEMBROKE PINES, FL, 330263200, US | |||||||||||||||||||||||||
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| Phone | +1 954-443-0018 |
| Fax | 9542366331 |
Authorized person
| Name | DR. CARMEN CORNIDE |
| Role | PRESIDENT |
| Phone | 9544430018 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY5595 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER NUMBER |
| Number | 54131 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORNIDE CARMEN DR. | Director | 1601 N. PALM AVE, PEMBROKE PINES, FL, 33026 |
| CORNIDE CARMEN | Agent | 3171 NW 126th Terrace, Sunrise, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 1601 N. PALM AVE, STE 208, PEMBROKE PINES, FL 33026 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 1601 N. PALM AVE, STE 208, PEMBROKE PINES, FL 33026 | - |
| REGISTERED AGENT NAME CHANGED | 2024-04-19 | CORNIDE, CARMEN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-19 | 3171 NW 126th Terrace, Sunrise, FL 33323 | - |
| CANCEL ADM DISS/REV | 2009-10-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
