| Entity Name: | THOMAS O. BONNER, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Sep 2003 (21 years ago) |
| Document Number: | P03000103752 |
| FEI/EIN Number | 522391074 |
| Address: | 9480 S.W. 77 AVE., MIAMI, FL, 33156, US |
| Mail Address: | 9480 S.W. 77 AVE., MIAMI, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487873451 | 2007-04-25 | 2020-08-22 | 9480 SW 77TH AVE, MIAMI, FL, 331567903, US | 9480 SW 77TH AVE, MIAMI, FL, 331567903, US | |||||||||||||||||||
|
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| Phone | +1 305-595-1616 |
| Fax | 3055957272 |
Authorized person
| Name | THOMAS O. BONNER |
| Role | PRESIDENT |
| Phone | 3055951616 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY2826 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BONNER THOMAS OPhd | Agent | 9480 SW 77 AVE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| BONNER THOMAS OPhd | President | 9480 SW 77 AVE, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-01-09 | BONNER, THOMAS OSBORNE, Phd | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-17 | 9480 S.W. 77 AVE., MIAMI, FL 33156 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-09 | 9480 S.W. 77 AVE., MIAMI, FL 33156 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-07-09 | 9480 SW 77 AVE, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
