| Entity Name: | JEFFREY HUTTMAN, PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 May 2019 (6 years ago) |
| Document Number: | P19000040523 |
| FEI/EIN Number | 84-1779013 |
| Address: | 9065 PINTURA WAY, BOCA RATON, FL, 33496, UN |
| Mail Address: | 9065 PINTURA WAY, BOCA RATON, FL, 33496, UN |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861058513 | 2019-05-17 | 2021-05-13 | 9065 PINTURA WAY, BOCA RATON, FL, 334961059, US | 2200 NW CORPORATE BLVD STE 110, BOCA RATON, FL, 334317307, US | |||||||||||||||||
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| Phone | +1 561-676-6785 |
Authorized person
| Name | MR. JEFFREY HUTTMAN |
| Role | PRESIDENT |
| Phone | 5613314437 |
Taxonomy
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUTTMAN JEFFREY | Agent | 9065 PINTURA WAY, BOCA RATON, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| HUTTMAN JEFFREY | President | 9065 PINTURA WAY, BOCA RATON, FL, 33496 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-06-09 |
| Domestic Profit | 2019-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
