| Entity Name: | SHERYL A. FERGUSON, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Aug 2003 (22 years ago) |
| Document Number: | P03000084599 |
| FEI/EIN Number | 020703914 |
| Address: | 123 NW 13th Street, Suite 214-15, Boca Raton, FL, 33432, US |
| Mail Address: | 123 NW 13th Street, Suite 214-15, Boca Raton, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982802781 | 2007-07-03 | 2020-08-22 | 300 S PINE ISLAND RD, SUITE 215, PLANTATION, FL, 333242673, US | 300 S PINE ISLAND RD, SUITE 215, PLANTATION, FL, 333242673, US | |||||||||||||||||||
|
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| Phone | +1 954-476-0255 |
| Fax | 9547469555 |
Authorized person
| Name | DR. SHERYL A FERGUSON |
| Role | PRESIDENT- PSYCHOLOGIST |
| Phone | 9544760255 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6736 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERGUSON SHERYL | Agent | 123 NW 13th Street, Boca Raton, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| FERGUSON SHERYL | President | 123 NW 13th Street, Boca Raton, FL, 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G06132900293 | THE ASSESSMENT, COUNSELING & DEVELOPMENT CENTER | ACTIVE | 2006-05-12 | 2026-12-31 | No data | 123 NW 13 STREET, SUITE 214-15, BOCA RATON, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | 123 NW 13th Street, Suite 214-15, Boca Raton, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 123 NW 13th Street, Suite 214-15, Boca Raton, FL 33432 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 123 NW 13th Street, Suite 214-15, Boca Raton, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
