| Entity Name: | ROE F. CLARKE, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Jan 1998 (27 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P98000007650 |
| FEI/EIN Number | 65-0815112 |
| Address: | 7390 NW 5th Street, PLANTATION, FL 33317 |
| Mail Address: | 7390 NW 5th Street, PLANTATION, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477719060 | 2008-08-02 | 2013-05-16 | 950 S PINE ISLAND RD, SUITE 1050, PLANTATION, FL, 333243918, US | 950 S PINE ISLAND RD, SUITE 1050, PLANTATION, FL, 333243918, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-588-7107 |
Authorized person
| Name | ROE F CLARKE |
| Role | PSYCHOLOGIST |
| Phone | 9545887107 |
Taxonomy
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| License Number | PY4970 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY4970 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY4970 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| License Number | PY4970 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TH0004X - Health Psychologist |
| License Number | PY4970 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CLARKE, ROE F | Agent | 430 SEA TURTLE TERRACE, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| CLARKE, ROE F | DR. | 430 SEA TURTLE TER., PLANTATION, FL 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-23 | 7390 NW 5th Street, PLANTATION, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-23 | 7390 NW 5th Street, PLANTATION, FL 33317 | No data |
| CANCEL ADM DISS/REV | 2008-03-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-28 | 430 SEA TURTLE TERRACE, PLANTATION, FL 33324 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-02-15 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-05-21 |
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-01-09 |
| ANNUAL REPORT | 2010-04-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
