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L. DENNISON REED, PSY.D., P.A.

Company Details

Entity Name: L. DENNISON REED, PSY.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Mar 1986 (39 years ago)
Document Number: J02275
FEI/EIN Number 592651768
Address: 4710 NW BOCA RATON BLVD, SUITE 104, BOCA RATON, FL, 33431, US
Mail Address: 1169 HILLSBORO MILE, UNIT 705, HILLSBORO BCH, FL, 33062
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023246402 2009-06-24 2009-06-24 4710 NW BOCA RATON BLVD, SUITE 104, BOCA RATON, FL, 334314879, US 4710 NW BOCA RATON BLVD, SUITE 104, BOCA RATON, FL, 334314879, US

Contacts

Phone +1 954-427-8883
Fax 9544273813

Authorized person

Name DR. LEWIS DENNISON REED
Role PRESIDENT
Phone 9544278883

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number PY3365
State FL
Is Primary Yes

Agent

Name Role Address
REED, L. DENNISON Agent 1169 HILLSBORO MILE, HILLSBORO BCH, FL, 33062

SPT

Name Role Address
REED, L. DENNISON SPT 1169 HILLSBORO MILE #705, HILLSBORO BCH, FL, 33062

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Date of last update: 02 Feb 2025

Sources: Florida Department of State