| Entity Name: | MICHAEL C. RIORDAN, PSY. D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Sep 1999 (25 years ago) |
| Document Number: | P99000080999 |
| FEI/EIN Number | 650952338 |
| Address: | 2107 S. 10TH STREET, FORT PIERCE, FL, 34950-5318, US |
| Mail Address: | 213 Marina Dr, FORT PIERCE, FL, 34949-8816, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366631608 | 2007-10-23 | 2008-05-29 | 2107 S 10TH ST, FORT PIERCE, FL, 349505318, US | 2107 S 10TH ST, FORT PIERCE, FL, 349505318, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 772-464-5555 |
| Fax | 7724688378 |
Authorized person
| Name | MS. LUCY RIORDAN |
| Role | REGISTERED AGENT |
| Phone | 7724645555 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RIORDAN LUCY | Agent | 213 MARINA DRIVE, FORT PIERCE, FL, 349498816 |
| Name | Role | Address |
|---|---|---|
| RIORDAN MICHAEL CPSYD | Director | 213 MARINA DR, FORT PIERCE, FL, 34949 |
| Name | Role | Address |
|---|---|---|
| RIORDAN LUCY | RA | 213 MARINA DR, FORT PIERCE, FL, 34949 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2015-02-11 | 2107 S. 10TH STREET, FORT PIERCE, FL 34950-5318 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-29 | 2107 S. 10TH STREET, FORT PIERCE, FL 34950-5318 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-29 | 213 MARINA DRIVE, FORT PIERCE, FL 34949-8816 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
