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JILL A. SELBACH, PH.D., P.A. - Florida Company Profile

Company Details

Entity Name: JILL A. SELBACH, PH.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JILL A. SELBACH, PH.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Jun 2002 (23 years ago)
Document Number: P02000071559
FEI/EIN Number 020628770

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2811 NE 39th Ct, LIGHTHOUSE POINT, FL, 33064, US
Mail Address: 2811 NE 39th Court, LIGHTHOUSE POINT, FL, 33064, US
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598033573 2011-12-06 2011-12-06 3650 N FEDERAL HWY, 215, LIGHTHOUSE POINT, FL, 330646649, US 3650 N FEDERAL HWY, 215, LIGHTHOUSE POINT, FL, 330646649, US

Contacts

Phone +1 954-618-8412
Fax 9547828389

Authorized person

Name DR. JILL ANN SELBACH
Role CLINICAL PSYCHOLOGIST
Phone 9546188412

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number PY6375
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
SELBACH JILL A Director 2811 NE 39 CT, LIGHTHOUSE POINT, FL, 33064
SELBACH JAMES P Director 2811 NE 39 CT, LIGHTHOUSE POINT, FL, 33064
SELBACH JAMES P Vice President 2811 NE 39 CT, LIGHTHOUSE POINT, FL, 33064
O'CONNOR TERRENCE P Agent 111 SE 12 ST, STE C, FT LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-20 2811 NE 39th Ct, LIGHTHOUSE POINT, FL 33064 -
CHANGE OF MAILING ADDRESS 2021-02-23 2811 NE 39th Ct, LIGHTHOUSE POINT, FL 33064 -

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-02-23
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-02-25

Date of last update: 03 Apr 2025

Sources: Florida Department of State