Detail by Officer/Registered Agent Name

Florida Limited Liability Company

COLLABORATIVE PSYCH & MED, LLC

Filing Information
L18000200718 83-1706764 08/22/2018 08/21/2018 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2021 NONE
Principal Address
3353 Victoria Manor Drive
K 109
LAKELAND, FL 33805
Changed: 02/22/2020
Mailing Address
3353 Victoria Manor Drive
K 109
LAKELAND, FL 33805
Changed: 02/22/2020
Registered Agent Name & Address Brannen, Catherine
3353 Victoria Manor Drive
K 109
LAKELAND, FL 33805
Name Changed: 01/21/2019

Address Changed: 02/22/2020
Authorized Person(s) Detail Name & Address

Title MGR

MOORE, JULIUS DAVID, DR.
4404 S FLORIDA AVENUE
STE 14
LAKELAND, FL 33813
Title AMBR

BRANNEN, CATHERINE
4404 S FLORIDA AVENUE
STE 14
LAKELAND, FL 33813
Annual Reports
Report YearFiled Date
2019 01/21/2019
2020 02/22/2020

Document Images
07/16/2020 -- LC Amendment View image in PDF format
02/22/2020 -- ANNUAL REPORT View image in PDF format
01/21/2019 -- ANNUAL REPORT View image in PDF format
08/22/2018 -- Florida Limited Liability View image in PDF format