Entity Name: | EMERGENT CARE PSYCHOLOGISTS, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 09 Nov 1998 (26 years ago) |
Document Number: | P98000094948 |
FEI/EIN Number | 593542310 |
Address: | 2505 W. Virginia Ave., Tampa, FL, 33607, US |
Mail Address: | PO BOX 14953, CLEARWATER, FL, 33766-4953, US |
ZIP code: | 33607 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225133184 | 2006-09-14 | 2020-08-22 | 5046 73RD AVE, PINELLAS PARK, FL, 337814350, US | 5046 73RD AVE, PINELLAS PARK, FL, 337814350, US | |||||||||||||||||||
|
Phone | +1 727-541-5436 |
Fax | 7275415484 |
Authorized person
Name | DR. EMILY J. FUTCH |
Role | PRESIDENT |
Phone | 7275415436 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
License Number | PY0003613 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JACOBS EILEEN DEsq. | Agent | 2505 W. VIRGINIA AVENUE, TAMPA, FL, 33607 |
Name | Role | Address |
---|---|---|
SLONE SHERMAN C | Director | PO BOX 14953, CLEARWATER, FL, 337664953 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2023-04-21 | 2505 W. VIRGINIA AVENUE, TAMPA, FL 33607 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-04-28 | 2505 W. Virginia Ave., Tampa, FL 33607 | No data |
CHANGE OF MAILING ADDRESS | 2020-12-23 | 2505 W. Virginia Ave., Tampa, FL 33607 | No data |
REGISTERED AGENT NAME CHANGED | 2018-01-09 | JACOBS, EILEEN D, Esq. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
ANNUAL REPORT | 2023-04-21 |
ANNUAL REPORT | 2022-04-21 |
ANNUAL REPORT | 2021-04-28 |
ANNUAL REPORT | 2020-06-01 |
ANNUAL REPORT | 2019-04-24 |
ANNUAL REPORT | 2018-01-09 |
ANNUAL REPORT | 2017-04-07 |
ANNUAL REPORT | 2016-04-28 |
ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State