| Entity Name: | MYRNA F. ZIEGLER, PSY.D, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Apr 1995 (30 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P95000031521 |
| FEI/EIN Number | 65-0668722 |
| Address: | 4948 NORTH 33RD CT., HOLLYWOOD, FL 33021 |
| Mail Address: | 3389 SHERIDAN ST., #134, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487998951 | 2012-11-21 | 2012-11-21 | 3389 SHERIDAN ST, #134, HOLLYWOOD, FL, 330213606, US | 4948 N 33RD CT, HOLLYWOOD, FL, 330212363, US | |||||||||||||||||||
|
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| Phone | +1 954-322-7006 |
| Fax | 9543224515 |
Authorized person
| Name | DR. MYRNA F ZIEGLER |
| Role | PRESIDENT |
| Phone | 9543227006 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0004037 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZIEGLER, MYRNA F | Agent | 4948 NORTH 33RD CT., HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| ZIEGLER, MYRNA F, Dr. | President | 3389 SHERIDAN STR. #134, HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-05-24 | ZIEGLER, MYRNA F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-05-24 | 4948 NORTH 33RD CT., HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2005-05-05 | 4948 NORTH 33RD CT., HOLLYWOOD, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-26 | 4948 NORTH 33RD CT., HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-03 |
| ANNUAL REPORT | 2015-02-11 |
| ANNUAL REPORT | 2014-03-22 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
