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ALAN L. BRAUNSTEIN, PH.D., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BRAUNSTEIN ALAN LPH.D Agent 7401 Wiles Road, Coral Springs, FL, 33067

Director

Name Role Address
BRAUNSTEIN ALAN L Director 7401 Wiles Road, Coral Springs, FL, 33067

Events

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