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RICHARD J. SASSATELLI, INC.

Company Details

Entity Name: RICHARD J. SASSATELLI, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 May 2000 (25 years ago)
Document Number: P00000053255
FEI/EIN Number 651009273
Address: 104 MEDICAL CENTER AVE, SEBRING, FL, 33870
Mail Address: 104 MEDICAL CENTER AVE, SEBRING, FL, 33870
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053532028 2007-05-01 2014-05-07 104 MEDICAL CENTER AVE, SEBRING, FL, 338705422, US 104 MEDICAL CENTER AVE, SEBRING, FL, 338705422, US

Contacts

Phone +1 863-314-0622
Fax 8633149640

Authorized person

Name DR. RICHARD J SASSATELLI
Role PRESIDENT, CLINICAL PSYCHOLOGIST
Phone 8633140622

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY5361
State FL
Is Primary Yes

Agent

Name Role Address
SASSATELLI RICHARD J Agent 104 MEDICAL CENTER AVE, SEBRING, FL, 33870

President

Name Role Address
SASSATELLI RICHARD J President 104 MEDICAL CENTER AVE, SEBRING, FL, 33870

Treasurer

Name Role Address
SASSATELLI RICHARD J Treasurer 104 MEDICAL CENTER AVE, SEBRING, FL, 33870

Date of last update: 02 Jan 2025

Sources: Florida Department of State