| Entity Name: | DR. RAPHAEL WALD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Nov 2010 (14 years ago) |
| Date of dissolution: | 04 Nov 2013 (11 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Nov 2013 (11 years ago) |
| Document Number: | L10000113296 |
| FEI/EIN Number | 273777594 |
| Address: | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434, US |
| Mail Address: | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174829006 | 2011-02-10 | 2011-02-16 | 7777 GLADES RD, SUITE 100, BOCA RATON, FL, 334344194, US | 7777 GLADES RD, SUITE 100, BOCA RATON, FL, 334344194, US | |||||||||||||||||||
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| Phone | +1 561-245-4622 |
| Fax | 8778873760 |
Authorized person
| Name | DR. RAPHAEL WALD |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 5612454622 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8167 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALD RAPHAEL | Agent | 7777 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| WALD RAPHAEL | Managing Member | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000074760 | PALM BEACH PSYCHOLOGY ASSOCIATES | EXPIRED | 2012-07-27 | 2017-12-31 | No data | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434 |
| G11000127263 | PALM BEACH NEUROPSYCHOLOGY ASSOCIATES | EXPIRED | 2011-12-28 | 2016-12-31 | No data | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2013-11-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-08-24 | WALD, RAPHAEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-08-24 | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL 33434 | No data |
| REINSTATEMENT | 2011-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2013-11-04 |
| ANNUAL REPORT | 2013-01-24 |
| Reg. Agent Change | 2012-08-24 |
| ANNUAL REPORT | 2012-01-05 |
| REINSTATEMENT | 2011-10-17 |
| Florida Limited Liability | 2010-11-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
