| Entity Name: | ROBERT BIRKFELD, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jan 2013 (12 years ago) |
| Document Number: | P13000000095 |
| FEI/EIN Number | 46-1646498 |
| Address: | 1429 Tintern Lane, St. Augustine, FL, 32092, US |
| Mail Address: | 1429 Tintern Lane, St. Augustine, FL, 32092, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629318928 | 2013-02-22 | 2017-02-22 | 1745 SW SAINT ANDREWS DR, PALM CITY, FL, 349902205, US | 1745 SW SAINT ANDREWS DR, PALM CITY, FL, 349902205, US | |||||||||||||||||||
|
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| Phone | +1 772-220-8200 |
| Fax | 8882343722 |
Authorized person
| Name | ROBERT BIRKFELD |
| Role | PRESIDENT |
| Phone | 7722208200 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | PY 8686 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BIRKFELD ROBERT | Agent | 1429 Tintern Lane, St. Augustine, FL, 32092 |
| Name | Role | Address |
|---|---|---|
| BIRKFELD ROBERT | President | 1429 Tintern Lane, St. Augustine, FL, 32092 |
| Name | Role | Address |
|---|---|---|
| BIRKFELD FRANCESCA | Vice President | 10598 Cordgrass Lane, Jacksonville, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| BIRKFELD FRANCESCA | Treasurer | 10598 Cordgrass Lane, Jacksonville, FL, 32258 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000000917 | ROBERT BIRKFELD, PSY.D., P.A. | EXPIRED | 2013-01-03 | 2018-12-31 | No data | 2678 SE WILLOUGHBY BLVD, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-23 | 1429 Tintern Lane, St. Augustine, FL 32092 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-23 | 1429 Tintern Lane, St. Augustine, FL 32092 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-23 | 1429 Tintern Lane, St. Augustine, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-01-16 |
| ANNUAL REPORT | 2015-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
