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KRISTINE TERRY, PHD, PLLC - Florida Company Profile

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Company Details

Entity Name: KRISTINE TERRY, PHD, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jul 2023 (2 years ago)
Document Number: L23000354268
FEI/EIN Number 93-2610023
Address: 13750 W COLONIAL DR STE 350, WINTER GARDEN, FL, 34787, US
Mail Address: 13750 W COLONIAL DR STE 350, WINTER GARDEN, FL, 34787, US
ZIP code: 34787
City: Winter Garden
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TERRY KRISTINE Authorized Member 13750 W COLONIAL DR STE 350, WINTER GARDEN, FL, 34787
- Agent -

National Provider Identifier

NPI Number:
1588400642
Certification Date:
2024-06-17

Authorized Person:

Name:
KRISTINE TERRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2024-03-16
Florida Limited Liability 2023-07-27

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Date of last update: 03 Aug 2025

Sources: Florida Department of State