Entity Name: | ALAN L. BRAUNSTEIN, PH.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Jan 1998 (27 years ago) |
Document Number: | P98000001088 |
FEI/EIN Number | 650803973 |
Address: | 7401 Wiles Road, Coral Springs, FL, 33067, US |
Mail Address: | 7401 Wiles Road, Coral Springs, FL, 33067, US |
ZIP code: | 33067 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306086913 | 2009-02-23 | 2009-02-23 | 475 RAMBLEWOOD DR, SUITE 101, CORAL SPRINGS, FL, 330717195, US | 475 RAMBLEWOOD DR, SUITE 101, CORAL SPRINGS, FL, 330717195, US | |||||||||||||||||||
|
Phone | +1 954-753-9404 |
Fax | 9543400741 |
Authorized person
Name | DR. ALAN LEONARD BRAUNSTEIN |
Role | PRESIDENT |
Phone | 9547539404 |
Taxonomy
Taxonomy Code | 103TC1900X - Counseling Psychologist |
License Number | PY3984 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRAUNSTEIN ALAN LPH.D | Agent | 7401 Wiles Road, Coral Springs, FL, 33067 |
Name | Role | Address |
---|---|---|
BRAUNSTEIN ALAN L | Director | 7401 Wiles Road, Coral Springs, FL, 33067 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State