| Entity Name: | SANDY BERNSTEIN, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SANDY BERNSTEIN, PH.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Jun 1987 (38 years ago) |
| Document Number: | J83179 |
| FEI/EIN Number |
592817203
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6499 POWERLINE ROAD, 209, FT. LAUDERDALE, FL, 33309 |
| Mail Address: | 1240 S. Pine Island Road, Plantation, FL, 33324, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083980833 | 2012-03-27 | 2012-06-13 | 6499 POWERLINE RD, SUITE 209, FT LAUDERDALE, FL, 333092069, US | 6499 POWERLINE RD, SUITE 209, FT LAUDERDALE, FL, 333092069, US | |||||||||||||||||||||||||
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| Phone | +1 954-772-6677 |
| Fax | 9547726711 |
Authorized person
| Name | SANDY BERNSTEIN |
| Role | OWNER |
| Phone | 9547726677 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 4910 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID# |
| Number | 59434 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bernstein Sandy Dr. | Director | 6499 POWERLINE ROAD, FT. LAUDERDALE, FL, 33309 |
| BERNSTEIN, SANDY, PH.D. | Agent | 6499 POWERLINE ROAD, #209, FT. LAUDERDALE, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-24 | 6499 POWERLINE ROAD, 209, FT. LAUDERDALE, FL 33309 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-14 | 6499 POWERLINE ROAD, 209, FT. LAUDERDALE, FL 33309 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-14 | 6499 POWERLINE ROAD, #209, FT. LAUDERDALE, FL 33309 | - |
| REGISTERED AGENT NAME CHANGED | 1992-04-15 | BERNSTEIN, SANDY, PH.D. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-23 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-02-21 |
| ANNUAL REPORT | 2015-02-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1074877702 | 2020-05-01 | 0455 | PPP | 6499 POWERLINE RD STE 209, FT LAUDERDALE, FL, 33309 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State
