| Entity Name: | DR. RAPHAEL WALD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DR. RAPHAEL WALD PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | Managing Member | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434 |
| WALD RAPHAEL | Agent | 7777 GLADES ROAD, 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 | - | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434 |
| G11000127263 | PALM BEACH NEUROPSYCHOLOGY ASSOCIATES | EXPIRED | 2011-12-28 | 2016-12-31 | - | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2013-11-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2012-08-24 | WALD, RAPHAEL | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-08-24 | 7777 GLADES ROAD, SUITE 100, BOCA RATON, FL 33434 | - |
| REINSTATEMENT | 2011-10-17 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9475757306 | 2020-05-02 | 0455 | PPP | 1200 Northwest 17th Avenue, Delray Beach, FL, 33445 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
