| Entity Name: | PHIL HELLER, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Apr 1988 (37 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | M76896 |
| FEI/EIN Number | 65-0058639 |
| Address: | 2201 NW 30 Place, Suite A, Pompano Beach, FL 33069 |
| Mail Address: | 2201 NW 30 Place, Suite A, Pompano Beach, FL 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164727814 | 2011-01-11 | 2011-01-11 | 2200 NW CORPORATE BLVD, SUITE 110, BOCA RATON, FL, 334317387, US | 2200 NW CORPORATE BLVD, SUITE 110, BOCA RATON, FL, 334317387, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-994-4565 |
| Fax | 5619943552 |
Authorized person
| Name | DR. PHIL HELLER |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 5619944565 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY3822 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEINER, JEFFREY S | Agent | 2201 NW 30 Place, Suite A, Pompano Beach, FL 33069 |
| Name | Role | Address |
|---|---|---|
| HELLER, PHIL | DR. | 2201 NW 30 Place, Suite A Pompano Beach, FL 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-26 | 2201 NW 30 Place, Suite A, Pompano Beach, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-26 | 2201 NW 30 Place, Suite A, Pompano Beach, FL 33069 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | STEINER, JEFFREY S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-26 | 2201 NW 30 Place, Suite A, Pompano Beach, FL 33069 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-03-02 |
| Reg. Agent Change | 2020-10-14 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-07-06 |
| ANNUAL REPORT | 2016-04-10 |
| ANNUAL REPORT | 2015-04-02 |
| ANNUAL REPORT | 2014-04-21 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
