| Entity Name: | TINA DICICCO REYNOLDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Dec 2006 (18 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 26 Sep 2011 (13 years ago) |
| Document Number: | P06000151543 |
| FEI/EIN Number | 208058010 |
| Address: | 4581 Weston Road, WESTON, FL, 33331, US |
| Mail Address: | 4581 Weston Road, WESTON, FL, 33331, US |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336421718 | 2011-09-12 | 2021-05-06 | 11401 NW 14TH CT, PEMBROKE PINES, FL, 330262505, US | 11401 NW 14TH CT, PEMBROKE PINES, FL, 33026, US | |||||||||||||||||||||||
|
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| Phone | +1 954-249-1871 |
| Fax | 9547879711 |
| Phone | +1 954-787-9711 |
| Fax | 9547878116 |
Authorized person
| Name | TINA DICICCO REYNOLDS |
| Role | PSYCHOLOGIST/OWNER |
| Phone | 9547879711 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 7384 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REYNOLDS TINA D | Agent | 11401 NW 14TH COURT, PEMBROKE PINES, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| REYNOLDS TINA D | Director | 11401 NW 14TH COURT, PEMBROKE PINES, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-23 | 4581 Weston Road, #295, WESTON, FL 33331 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-23 | 4581 Weston Road, #295, WESTON, FL 33331 | No data |
| NAME CHANGE AMENDMENT | 2011-09-26 | TINA DICICCO REYNOLDS, PA | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-11 | REYNOLDS, TINA D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-07-02 | 11401 NW 14TH COURT, PEMBROKE PINES, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-14 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
