| Entity Name: | DANIEL B GOLDMAN PHD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jun 2012 (13 years ago) |
| Document Number: | L12000083501 |
| FEI/EIN Number | 45-5558318 |
| Address: | 3205 Southgate Cir, Ste 16, Sarasota, FL 34239-5514 |
| Mail Address: | 3205 Southgate Cir, Ste 16, Sarasota, FL 34239-5514 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073877643 | 2012-06-28 | 2023-07-06 | 3205 SOUTHGATE CIR, SARASOTA, FL, 342395514, US | 3205 SOUTHGATE CIR, SARASOTA, FL, 342395514, US | |||||||||||||||||||
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| Phone | +1 941-444-5578 |
| Fax | 9414445592 |
Authorized person
| Name | DANIEL B GOLDMAN |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 9414445578 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8470 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOACH, KRAIG H | Agent | 2750 Ringling Boulevard, Suite 3, SARASOTA, FL 34237 |
| Name | Role | Address |
|---|---|---|
| Goldman, Daniel B | Manager | 3205 Southgate Cir, Ste 16 Sarasota, FL 34239-5514 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 3205 Southgate Cir, Ste 16, Sarasota, FL 34239-5514 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 3205 Southgate Cir, Ste 16, Sarasota, FL 34239-5514 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-08 | 2750 Ringling Boulevard, Suite 3, SARASOTA, FL 34237 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
