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  5. PSYCHIATRIC ASSOCIATES, P.A.

PSYCHIATRIC ASSOCIATES, P.A. - Florida Company Profile

Company Details

Entity Name: PSYCHIATRIC ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PSYCHIATRIC ASSOCIATES, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 06 Apr 1999 (26 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P99000031368
FEI/EIN Number 593569719

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1543 KINGSLEY AVENUE, BUILDING 14, ORANGE PARK, FL, 32073
Mail Address: 1543 KINGSLEY AVENUE, BUILDING 14, ORANGE PARK, FL, 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255740767 2014-08-08 2014-08-08 1543 KINGSLEY AVE STE 14, ORANGE PARK, FL, 320734570, US 1543 KINGSLEY AVE STE 14, ORANGE PARK, FL, 320734570, US

Contacts
Phone +1 904-264-6977
Fax 9042690870

Authorized person
Name LANAH W LARSON
Role SECRETARY, PRACTICE ADMINISTRATOR
Phone 9042646977

Taxonomy
Taxonomy Code 2084P0800X - Psychiatry Physician
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 25939900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2023 591364817 2024-07-25 PSYCHIATRIC ASSOCIATES, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2022 591364817 2023-09-07 PSYCHIATRIC ASSOCIATES, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2021 591364817 2022-06-23 PSYCHIATRIC ASSOCIATES, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2020 591364817 2021-05-27 PSYCHIATRIC ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2019 591364817 2021-07-15 PSYCHIATRIC ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2019 591364817 2021-01-14 PSYCHIATRIC ASSOCIATES, P.A. 14
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2021-01-14
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2018 591364817 2019-09-26 PSYCHIATRIC ASSOCIATES, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SHADOW LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2017 591364817 2018-10-04 PSYCHIATRIC ASSOCIATES, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 814 SADDLE LANE, SUITE B, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2016 591364817 2017-09-28 PSYCHIATRIC ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 235 CARMEL DRIVE, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2017-09-28
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES' PROFIT SHARING PLAN 2015 591364817 2016-09-08 PSYCHIATRIC ASSOCIATES, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8508623141
Plan sponsor’s address 235 CARMEL DRIVE, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing GEORGE A. MICHAS, M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LARSON JAMES LMD PDM 1543 KINGSLEY AVENUE, BUILDING 14, ORANGE PARK, FL, 32073
LARSON LANAH W Secretary 1543 KINGSLEY AVENUE, BUILDING 14, ORANGE PARK, FL, 32073
NULAND CHRISTOPHER L Agent 1000 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2002-03-05 PSYCHIATRIC ASSOCIATES, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2002-03-05 1000 RIVERSIDE AVENUE, SUITE 115, JACKSONVILLE, FL 32204 -
CHANGE OF PRINCIPAL ADDRESS 2000-03-06 1543 KINGSLEY AVENUE, BUILDING 14, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2000-03-06 1543 KINGSLEY AVENUE, BUILDING 14, ORANGE PARK, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2017-03-28
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-01-28
ANNUAL REPORT 2014-03-03
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-03-22
ANNUAL REPORT 2011-04-25
ANNUAL REPORT 2010-03-01
ANNUAL REPORT 2009-04-23
ANNUAL REPORT 2008-02-01

Companies related by officers

NULAND CHRISTOPHER L

LAW OFFICES OF CHRISTOPHER L. NULAND, P.A. - Active
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INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE, P.A. - Active
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SYMMETRY VASCULAR CENTER, INC. - Active
Domestic Profit (2004 )
RELIABLE MEDICAL TRANSPORTATION, INC. - Inactive
Domestic Profit (2002 - 2003)
AMERICAN SOCIETY FOR PHOTODYNAMIC THERAPY, INC. - Inactive
Domestic Non-Profit (2004 - 2008)
PRISM DIAGNOSTICS, INC. - Inactive
Domestic Profit (1997 - 1999)
RADHIKA P. PHADKE, M.D., P.A. - Active
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Companies related by address

No other companies in our directory share the same address as PSYCHIATRIC ASSOCIATES, P.A.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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