| Entity Name: | FAMILY PSYCHOLOGICAL SERVICES OF PALM HARBOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FAMILY PSYCHOLOGICAL SERVICES OF PALM HARBOR, INC. 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: | 26 Jan 1999 (26 years ago) |
| Document Number: | P99000007321 |
| FEI/EIN Number |
593556696
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2142 US HIGHWAY ALT 19 N., SUITE C-1, PALM HARBOR, FL, 34683, US |
| Mail Address: | 2142 US HIGHWAY ALT 19 N., C-1, PALM HARBOR, FL, 34683, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639203763 | 2007-03-14 | 2024-01-23 | 2142 ALT 19 STE C1, PALM HARBOR, FL, 346835361, US | 2142 ALT 19 STE C1, PALM HARBOR, FL, 346835361, US | |||||||||||||||||||||||
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| Phone | +1 727-787-6177 |
| Fax | 7277878406 |
Authorized person
| Name | DR. ERIC L ROSEN |
| Role | OWNER & PRESIDENT |
| Phone | 7277876177 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY5165 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Rosen Eric L | Owne | 2358 Landing Way, Palm Harbor, FL, 34684 |
| Rosen Barbara | Vice President | 2358 Landing Way, Palm Harbor, FL, 34684 |
| Rosen Robert | Chief Executive Officer | 9721 Montague Street, Westchase, FL, 33626 |
| Rosen Karon | Clin | 9721 Montague Street, Westchase, FL, 33626 |
| ROSEN ERIC L | Agent | 2358 LANDING WAY, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-27 | 2142 US HIGHWAY ALT 19 N., SUITE C-1, PALM HARBOR, FL 34683 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-22 | 2142 US HIGHWAY ALT 19 N., SUITE C-1, PALM HARBOR, FL 34683 | - |
| CHANGE OF MAILING ADDRESS | 2013-01-22 | 2142 US HIGHWAY ALT 19 N., SUITE C-1, PALM HARBOR, FL 34683 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4583197407 | 2020-05-10 | 0455 | PPP | 2142 U.S. Alt. 19 C-1, Palm Harbor, FL, 34683 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
