| Entity Name: | BONNIE SLADE, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Jul 1982 (43 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | F91304 |
| FEI/EIN Number | 59-2210666 |
| Address: | 1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL 32905 |
| Mail Address: | 1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL 32905 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629480231 | 2014-05-30 | 2014-05-30 | 1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL, 32958, US | 1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL, 32958, US | |||||||||||||||||||
|
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| Phone | +1 321-729-0870 |
| Fax | 3219522516 |
Authorized person
| Name | DR. BONNIE SLADE |
| Role | PRESIDENT |
| Phone | 3217290870 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY002036 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SLADE, BONNIE, PHD | Agent | 1555 PORT MALABAR BLVD., STE. 104, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| SLADE, BONNIE, PHD | President | 1555 PORT MALABAR BLVD., #104, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| SLADE, BONNIE, PHD | Director | 1555 PORT MALABAR BLVD., #104, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| SLADE, BONNIE, PHD | Treasurer | 1555 PORT MALABAR BLVD., #104, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| SLADE, BONNIE, PHD | Secretary | 1555 PORT MALABAR BLVD., #104, PALM BAY, FL 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-02-17 | 1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2004-02-17 | 1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL 32905 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-17 | 1555 PORT MALABAR BLVD., STE. 104, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-23 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-03 |
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-14 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
