| Entity Name: | MKB PSYCHOLOGY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Mar 2021 (4 years ago) |
| Document Number: | P21000026152 |
| FEI/EIN Number | 86-2622559 |
| Mail Address: | 1605 SW 108 TERRACE, DAVIE, FL 33324 |
| Address: | 1605 SW 108TH TERRACE, DAVIE, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245818053 | 2021-04-01 | 2024-09-29 | 1605 SW 108TH TER, DAVIE, FL, 333247171, US | 3700 WASHINGTON ST STE 304, HOLLYWOOD, FL, 330218258, US | |||||||||||||||
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| Phone | +1 305-778-5008 |
| Phone | +1 954-961-1500 |
Authorized person
| Name | DR. MARIA KARILSHTADT-BYK |
| Role | PRESIDENT |
| Phone | 3057785008 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KARILSHTADT-BYK, MARIA | Agent | 1605 SW 108TH TERRACE, DAVIE, FL, FL 33324 |
| Name | Role | Address |
|---|---|---|
| KARILSHTADT-BYK, MARIA | President | 1605 SW 108 TERRACE, DAVIE, FL 33324 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-01-22 |
| Domestic Profit | 2021-03-15 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
