| Entity Name: | DAVID A. YUDELL, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DAVID A. YUDELL, PSY.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: | 09 Aug 2005 (20 years ago) |
| Document Number: | P05000110759 |
| FEI/EIN Number |
203275475
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5401 N University Drive, Coral Springs, FL, 33067, US |
| Mail Address: | 5401 N University Drive, Coral Springs, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205080074 | 2008-11-06 | 2011-12-02 | 5489 WILES RD, SUITE 305, COCONUT CREEK, FL, 330734220, US | 5489 WILES RD, SUITE 305, COCONUT CREEK, FL, 330734220, US | |||||||||||||||||||||||||
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| Phone | +1 954-801-7996 |
| Fax | 9543333573 |
Authorized person
| Name | DR. DAVID A. YUDELL |
| Role | PRESIDENT |
| Phone | 9548017996 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY7134 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 769006100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YUDELL DAVID A | President | 5401 North University Drive, Coral Springs, FL, 33067 |
| YUDELL DAVID A | Agent | 5401 N University Drive, Coral Springs, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-29 | 5401 N University Drive, 202, Coral Springs, FL 33067 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-27 | 5401 N University Drive, Suite 202, Coral Springs, FL 33067 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-27 | 5401 N University Drive, Suite 202, Coral Springs, FL 33067 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-02-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1934127309 | 2020-04-28 | 0455 | PPP | 5401 North University Drive, Suite 202, Coral Springs, FL, 33322 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
