| Entity Name: | FLORIDA CENTER FOR COGNITIVE THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Feb 1989 (36 years ago) |
| Document Number: | K63733 |
| FEI/EIN Number | 592939929 |
| Address: | 600 S. Curson Ave. # 405, Los Angeles, CA, 90036, US |
| Mail Address: | 600 S. Curson Ave. #405, Los Angeles, CA, 90036, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437243961 | 2006-10-02 | 2020-08-22 | 1201 COUNTY ROAD 1, SUITE A, DUNEDIN, FL, 346984655, US | 1201 COUNTY ROAD 1, SUITE A, DUNEDIN, FL, 346984655, US | |||||||||||||||||||
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| Phone | +1 727-791-0886 |
| Fax | 7277350859 |
Authorized person
| Name | DR. MICHAEL STEVEN GREENBERG |
| Role | PRESIDENT |
| Phone | 7277910886 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0003816 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gassman Alan | Agent | 1245 Court St, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| GREENBERG, MICHAEL S. | President | 600 S. Curson Ave. #405, Los Angeles, CA, 90036 |
| Name | Role | Address |
|---|---|---|
| GREENBERG, MICHAEL S. | Secretary | 600 S. Curson Ave. #405, Los Angeles, CA, 90036 |
| Name | Role | Address |
|---|---|---|
| ZAKEN-GREENBERG, FLORA | Vice President | 600 S. Curson Ave. #405, Los Angeles, CA, 90036 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
