| Entity Name: | PSYCHOLOGICAL ASSOCIATES OF THE PALM BEACHES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jan 1998 (27 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P98000001895 |
| FEI/EIN Number | 650818129 |
| Address: | 4733 WEST ATLANTIC AVE, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 4733 WEST ATLANTIC AVE, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306026604 | 2007-11-05 | 2008-08-07 | 3692 MOON BAY CIR, WELLINGTON, FL, 334148806, US | 1300 NW 17TH AVE STE 101, DELRAY BEACH, FL, 334452554, US | |||||||||||||||||||
|
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| Phone | +1 561-279-9295 |
| Fax | 5613338029 |
Authorized person
| Name | DR. SCOTT MICHAEL COSTANZA |
| Role | PRESIDENT |
| Phone | 5612799295 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY5739 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COSTANZA SCOTT | Agent | 4733 WEST ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| COSTANZA SCOTT | Director | 4733 WEST ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| COSTANZA SCOTT | President | 4733 WEST ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-21 | 4733 WEST ATLANTIC AVE, SUITE C-21, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-09-17 | 4733 WEST ATLANTIC AVE, SUITE C-21, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2013-09-17 | 4733 WEST ATLANTIC AVE, SUITE C-21, DELRAY BEACH, FL 33445 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-21 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
