| Entity Name: | MICHAEL SIMPSON, PH.D., PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Dec 2009 (15 years ago) |
| Document Number: | P09000100098 |
| FEI/EIN Number | 271480224 |
| Address: | 449 Bontona Avenue, Fort Lauderdale, FL, 33301, US |
| Mail Address: | 449 Bontona Avenue, Fort Lauderdale, FL, 33301, US |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750611877 | 2010-01-12 | 2024-09-18 | 378 COCONUT CIR, WESTON, FL, 333263317, US | 449 BONTONA AVE, FORT LAUDERDALE, FL, 333012419, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-557-8400 |
| Fax | 8009214580 |
| Phone | +1 954-217-3966 |
Authorized person
| Name | DR. MICHAEL SIMPSON |
| Role | PSYCHOLOGIST |
| Phone | 9542173966 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Seidman Carol | Agent | 449 Bontona Avenue, Fort Lauderdale, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| SIMPSON MICHAEL | President | 378 COCONUT CIRCLE, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-03 | 449 Bontona Avenue, Fort Lauderdale, FL 33301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-22 | 449 Bontona Avenue, Fort Lauderdale, FL 33301 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-22 | Seidman, Carol | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-22 | 449 Bontona Avenue, Fort Lauderdale, FL 33301 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-22 |
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-01-20 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
