| Entity Name: | SRM CLINICAL PSYCHOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SRM CLINICAL PSYCHOLOGY, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Oct 2002 (22 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P02000113735 |
| FEI/EIN Number |
300124552
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3215 NE 184TH ST, # 14203, AVENTURA, FL, 33160 |
| Mail Address: | 3215 NE 184TH ST, # 14203, AVENTURA, FL, 33160 |
| ZIP code: | 33160 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811133309 | 2009-01-05 | 2009-08-20 | 3215 NE 184TH ST, APTO 14203, NORTH MIAMI BEACH, FL, 331604994, US | 6100 HOLLYWOOD BLVD, SUITE 201, HOLLYWOOD, FL, 330247900, US | |||||||||||||||||||||||||
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| Phone | +1 954-962-8052 |
| Fax | 9549664774 |
Authorized person
| Name | SARA MALAGOLD |
| Role | PRESIDENT |
| Phone | 9549628052 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | 7360 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LIC |
| Number | 7360 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MALAGOLD SARA | Director | 3215 NE 184TH ST #14203, AVENTURA, FL, 33160 |
| RIBAK MARIO | Agent | 20350 W COUNTRY CLUB DR PH 8, MIAMI, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2012-04-28 | RIBAK, MARIO | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-28 | 20350 W COUNTRY CLUB DR PH 8, MIAMI, FL 33179 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-25 | 3215 NE 184TH ST, # 14203, AVENTURA, FL 33160 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-25 | 3215 NE 184TH ST, # 14203, AVENTURA, FL 33160 | - |
| CANCEL ADM DISS/REV | 2009-10-27 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-28 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-04-28 |
| REINSTATEMENT | 2009-10-27 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-04-18 |
| ANNUAL REPORT | 2005-04-21 |
| ANNUAL REPORT | 2004-04-27 |
| ANNUAL REPORT | 2003-06-04 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
