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