| Entity Name: | FRED L. ALBERTS, JR., PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Oct 1984 (40 years ago) |
| Document Number: | H25589 |
| FEI/EIN Number | 592530422 |
| Address: | 3825 Henderson Boulevard, Suite 605A, TAMPA, FL, 33629, US |
| Mail Address: | 3825 Henderson Boulevard, Suite 605A, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902041932 | 2008-12-04 | 2008-12-04 | 211 E DAVIS BLVD, TAMPA, FL, 336063728, US | 211 E DAVIS BLVD, TAMPA, FL, 336063728, US | |||||||||||||||||
|
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| Phone | +1 813-251-9284 |
Authorized person
| Name | DR. FRED L. ALBERTS JR. |
| Role | PRESIDENT |
| Phone | 8132519284 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY3346 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALBERTS FRED LJr. | Agent | 3825 Henderson Boulevard, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| ALBERTS FRED LJr. | President | 3825 Henderson Boulevard, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| ALBERTS FRED LJr. | Treasurer | 3825 Henderson Boulevard, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| Alberts Kathryn A | Secretary | 3825 Henderson Boulevard, Tampa, FL, 33629 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000002684 | ASSESSMENT LABORATORIES | ACTIVE | 2020-01-07 | 2025-12-31 | No data | 211 EAST DAVIS BOULEVARD, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1995-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
