| Entity Name: | RECONNECT RELATIONSHIP FLORIDA, A PROFESSIONAL PSYCHOLOGY CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Dec 2022 (2 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 27 Dec 2022 (2 years ago) |
| Document Number: | P22000090432 |
| FEI/EIN Number | 92-1280979 |
| Address: | 150 EAST PALMETTO PARK ROAD, SUITE 800, BOCA RATON, FL 33432 |
| Mail Address: | 150 EAST PALMETTO PARK ROAD, SUITE 800, BOCA RATON, FL 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376244921 | 2023-03-10 | 2023-03-10 | 150 E PALMETTO PARK RD STE 800, BOCA RATON, FL, 334324833, US | 150 E PALMETTO PARK RD STE 800, BOCA RATON, FL, 334324833, US | |||||||||||||||||||||
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| Phone | +1 310-500-8442 |
| Fax | 8558813484 |
Authorized person
| Name | GILBERT CHALEPAS |
| Role | PSY.D. |
| Phone | 3105008442 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | PY11642 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MATZNER, GARY C | Agent | 2800 PONCE DE LEON BLVD S1100, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| CHALEPAS, GILBERT, DR | President | 150 EAST PALMETTO PARK ROAD SUITE 800, BOCA RATON, FL 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2022-12-27 | RECONNECT RELATIONSHIP FLORIDA, A PROFESSIONAL PSYCHOLOGY CORPORATION | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-01 |
| Name Change | 2022-12-27 |
| Domestic Profit | 2022-12-06 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
