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
Changed: 02/22/2020
3353 Victoria Manor Drive
K 109
LAKELAND, FL 33805
K 109
LAKELAND, FL 33805
Changed: 02/22/2020
Mailing Address
Changed: 02/22/2020
3353 Victoria Manor Drive
K 109
LAKELAND, FL 33805
K 109
LAKELAND, FL 33805
Changed: 02/22/2020
Registered Agent Name & Address
Brannen, Catherine
Name Changed: 01/21/2019
Address Changed: 02/22/2020
3353 Victoria Manor Drive
K 109
LAKELAND, FL 33805
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.
Title AMBR
BRANNEN, CATHERINE
Title MGR
MOORE, JULIUS DAVID, DR.
4404 S FLORIDA AVENUE
STE 14
LAKELAND, FL 33813
STE 14
LAKELAND, FL 33813
Title AMBR
BRANNEN, CATHERINE
4404 S FLORIDA AVENUE
STE 14
LAKELAND, FL 33813
STE 14
LAKELAND, FL 33813
Annual Reports
Report Year | Filed Date |
2019 | 01/21/2019 |
2020 | 02/22/2020 |
Document Images