ELAINE BANTA
Psychologist at Lakeside Dr, Jupiter, FL
License number
Florida 4354
Issued Date
Dec 3, 1990
Effective Date
Apr 27, 2000
Expiration Date
May 31, 2018
Category
Health Care
Type
Psychologist
Address
Address
18391 SE Lakeside Dr, Jupiter, FL 33469
Phone
(561) 743-9227
Personal information
See more information about ELAINE BANTA at radaris.comName
Address
Phone
18391 SE Lakeside Dr, Jupiter, FL 33469
284 Grant Ave, Satellite Beach, FL 32937
18391 Lakeside Dr, Jupiter, FL 33469
148 Intracoastal Cir, Jupiter, FL 33469
12500 Mcmullen Loop, Riverview, FL 33569
Organization information
See more information about ELAINE BANTA at bizstanding.comELAINE BANTA, PH.D., PA
Jupiter, FL
Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 2, 1992
Inactive since:
Sep 27, 2013
Addresses:
725 N A1A SUITE B106, Jupiter, FL 33477 (Physical)
725 N Hwy A1A, Jupiter, FL 33477
725 N Hwy A1A, Jupiter, FL 33477
State ID:
V47526
Business type:
Florida Profit Corporation
Director, Secretary, President:
Elaine Banta Director, Secretary, President, inactive, 725 N A1A Su B106, Jupiter, FL 33477 (Physical)
Agent:
Banta, Elaine Ph.d.pa,725 N A1A SUITE B106, Jupiter, FL 33477 (Physical)
EIN:
650353319
Professional information
Dr. Elaine Banta, Jupiter FL - PHD
Specialties:
Clinical Psychology
Address:
725 N Highway A1A SUITE B106, Jupiter 33477
(561) 427-0144 (Phone), (561) 747-0258 (Fax)
(561) 427-0144 (Phone), (561) 747-0258 (Fax)
Languages:
English
Elaine Banta, Jupiter FL
Specialties:
Psychologist
Address:
725 N Highway A1A, Jupiter, FL 33477