| Entity Name: | TERI BEERS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Nov 2001 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 16 Nov 2001 (23 years ago) |
| Document Number: | P01000107617 |
| FEI/EIN Number | 651146632 |
| Address: | 814 FLEMING STREET, KEY WEST, FL, 33040 |
| Mail Address: | 814 FLEMING STREET, KEY WEST, FL, 33040 |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306011085 | 2008-04-24 | 2008-10-03 | 814 FLEMING ST, KEY WEST, FL, 33040, US | 814 FLEMING ST, KEY WEST, FL, 33040, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-292-3339 |
| Fax | 8663103339 |
Authorized person
| Name | TERI BEERS |
| Role | OWNER |
| Phone | 3052923339 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME83461 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280621500 |
| State | FL |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROSSI TERI | President | 814 FLEMING ST., KEY WEST, FL, 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-09 | 4929 SW 74TH CT, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-15 | THE LAW OFFICES OF MAX A ADAMS ESQ PLLC | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-06 | 814 FLEMING STREET, KEY WEST, FL 33040 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-18 | 814 FLEMING STREET, KEY WEST, FL 33040 | No data |
| NAME CHANGE AMENDMENT | 2001-11-16 | TERI BEERS, M.D., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
