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