| Entity Name: | T.R. TREESE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Mar 2005 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 05 Oct 2007 (17 years ago) |
| Document Number: | P05000036480 |
| FEI/EIN Number | 202471942 |
| Address: | 1900 Glades Road, Suite 500, Boca Raton, FL, 33431, US |
| Mail Address: | 1900 Glades Road, Suite 500, Boca Raton, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023251246 | 2009-04-17 | 2009-04-17 | 4950 SOUTH LEJEUNE ROAD, SUITE E, CORAL GABLES, FL, 331462231, US | 4950 SOUTH LEJEUNE ROAD, SUITE E, CORAL GABLES, FL, 331462231, US | |||||||||||||||||||
|
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| Phone | +1 305-667-7171 |
| Fax | 3056677077 |
Authorized person
| Name | THEODORE ROBERT TREESE |
| Role | OWNER |
| Phone | 3056677171 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | ME 0091693 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TREESE THEODORE R | Agent | 1900 Glades Road, Boca Raton, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| TREESE THEODORE R | President | 1900 Glades Road, Boca Raton, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| TREESE THEODORE R | Director | 1900 Glades Road, Boca Raton, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-29 | 1900 Glades Road, Suite 500, Boca Raton, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-29 | 1900 Glades Road, Suite 500, Boca Raton, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-29 | 1900 Glades Road, Suite 500, Boca Raton, FL 33431 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-30 | TREESE, THEODORE R | No data |
| CANCEL ADM DISS/REV | 2007-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-06-14 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-05-03 |
| ANNUAL REPORT | 2016-04-06 |
| AMENDED ANNUAL REPORT | 2015-08-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
