| Entity Name: | WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Sep 1989 (35 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Nov 2007 (17 years ago) |
| Document Number: | L14841 |
| FEI/EIN Number | 65-0152745 |
| Address: | 3865 10TH AVENUE, NORTH, PALM SPRINGS,, FL 33461 |
| Mail Address: | 3865 10TH AVENUE, NORTH, PALM SPRINGS,, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003143447 | 2009-11-05 | 2009-11-05 | 3865 10TH AVE N, PALM SPRINGS, FL, 334612853, US | 3865 10TH AVE N, PALM SPRINGS, FL, 334612853, US | |||||||||||||||||||
|
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| Phone | +1 561-966-8423 |
| Fax | 5619668424 |
Authorized person
| Name | DR. PAUL E BRYAN JR. |
| Role | OWNER/PRESIDENT |
| Phone | 5619668423 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY0003895 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRYAN, PAUL E. JR | Agent | 3865 10TH AVENUE NORTH, PALM SPRINGS, FL 33461 |
| Name | Role | Address |
|---|---|---|
| BRYAN, PAUL E. JR | President | 3865 10TH AVE, NORTH, PALM SPRINGS, FL 33461 |
| Name | Role | Address |
|---|---|---|
| BRYAN, PAUL E. JR | Secretary | 3865 10TH AVE, NORTH, PALM SPRINGS, FL 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-03-07 | BRYAN, PAUL E. JR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-13 | 3865 10TH AVENUE NORTH, PALM SPRINGS, FL 33461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-13 | 3865 10TH AVENUE, NORTH, PALM SPRINGS,, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-13 | 3865 10TH AVENUE, NORTH, PALM SPRINGS,, FL 33461 | No data |
| AMENDMENT | 2007-11-21 | No data | No data |
| REINSTATEMENT | 1999-03-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| NAME CHANGE AMENDMENT | 1990-08-14 | WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-06-16 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-03-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
