| Entity Name: | MARCIA SCHULTZ PSY.D INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Oct 2003 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P03000124052 |
| FEI/EIN Number | 200362209 |
| Address: | 7300 CAMINO REAL, SUITE 204, BOCA RATON, FL, 33433, US |
| Mail Address: | 7300 CAMINO REAL, SUITE 204, BOCA RATON, FL, 33433, US |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861589145 | 2006-10-06 | 2010-12-10 | 9951 NW 38TH ST, CORAL SPRINGS, FL, 330652830, US | 3111 N UNIVERSITY DR, 400, CORAL SPRINGS, FL, 330655086, US | |||||||||||||||||||||||||||
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| Phone | +1 954-752-7707 |
| Fax | 9547529562 |
| Phone | +1 954-649-1957 |
Authorized person
| Name | DR. MARCIA SCHULTZ |
| Role | PSYCHOLOGIST |
| Phone | 9546491957 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY4717 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 73941 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHULTZ MARCIA | Agent | 7300 CAMINO REAL, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| SCHULTZ MARCIA | Director | 7300 CAMINO REAL, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-31 | 7300 CAMINO REAL, SUITE 204, BOCA RATON, FL 33433 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-31 | 7300 CAMINO REAL, SUITE 204, BOCA RATON, FL 33433 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-31 | 7300 CAMINO REAL, SUITE 204, BOCA RATON, FL 33433 | No data |
| CANCEL ADM DISS/REV | 2006-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-03-31 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-03-05 |
| ANNUAL REPORT | 2011-03-24 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-03-18 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-07-09 |
| REINSTATEMENT | 2006-10-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
