| Entity Name: | ROBERT S. GLAZER, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Oct 1985 (39 years ago) |
| Document Number: | H81086 |
| FEI/EIN Number | 592593550 |
| Address: | 19802 OLD BELLAMY RD., ALACHUA, FL, 32615, US |
| Mail Address: | 19802 OLD BELLAMY RD., ALACHUA, FL, 32615, US |
| ZIP code: | 32615 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417224791 | 2011-11-30 | 2011-11-30 | 19802 OLD BELLAMY RD, ALACHUA, FL, 326153867, US | 19802 OLD BELLAMY RD, ALACHUA, FL, 326153867, US | |||||||||||||||||||
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| Phone | +1 386-462-5155 |
| Fax | 3864621952 |
Authorized person
| Name | DR. ROBERT GLAZER |
| Role | OWNER |
| Phone | 3864625155 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 4152 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLAZER ROBERT S | Agent | 19810 OLD BELLAMY ROAD, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| GLAZER, ROBERT S. | President | 19802 OLD BELLAMY RD, ALACHUA, FL, 32615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
