| Entity Name: | CHILD PSYCHOLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Dec 1999 (25 years ago) |
| Document Number: | P99000106262 |
| FEI/EIN Number | 650966487 |
| Address: | 14520 SW 77th St., MIAMI, FL, 33183, US |
| Mail Address: | C/O GARY X LANCELOTTA, 14520 SW 77 ST, MIAMI, FL, 33183 |
| ZIP code: | 33183 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629275300 | 2007-06-27 | 2020-08-22 | 7301 SW 57TH CT STE 555, SOUTH MIAMI, FL, 331435334, US | 7301 SW 57TH CT STE 555, SOUTH MIAMI, FL, 331435334, US | |||||||||||||||||||
|
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| Phone | +1 305-668-7999 |
| Fax | 3056687988 |
Authorized person
| Name | GARY XAVIER LANCELOTTA |
| Role | DIRECTOR |
| Phone | 3056687999 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY4882 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LANCELOTTA GARY X | Agent | 14520 SW 77th St., MIAMI, FL, 33183 |
| Name | Role | Address |
|---|---|---|
| LANCELOTTA GARY X | President | C/O GARY X LANCELOTTA, MIAMI, FL, 33183 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-26 | 14520 SW 77th St., MIAMI, FL 33183 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-26 | 14520 SW 77th St., MIAMI, FL 33183 | No data |
| CHANGE OF MAILING ADDRESS | 2003-01-15 | 14520 SW 77th St., MIAMI, FL 33183 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
