| Entity Name: | JEANNE PETERSON, PSY. D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Aug 2012 (12 years ago) |
| Document Number: | P12000068629 |
| FEI/EIN Number | 46-0772551 |
| Address: | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544, US |
| Mail Address: | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962756197 | 2012-11-09 | 2013-10-23 | 2100 ASHLEY OAKS CIR, WESLEY CHAPEL, FL, 335446416, US | 2100 ASHLEY OAKS CIR, WESLEY CHAPEL, FL, 335446416, US | |||||||||||||||||||
|
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| Phone | +1 813-382-2091 |
| Fax | 8139079494 |
Authorized person
| Name | DR. JEANNE PETERSON |
| Role | PRESIDENT |
| Phone | 8133822091 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6060 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Peterson Jeanne E | Agent | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| PETERSON JEANNE E | President | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000039627 | TAMPABAY CENTER FOR RELATIONAL PSYCHOLOGY | ACTIVE | 2013-04-24 | 2028-12-31 | No data | 2100 ASHLEY OAKS CIR, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-27 | 2100 Ashley Oaks Circle, Wesley Chapel, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-27 | 2100 Ashley Oaks Circle, Wesley Chapel, FL 33544 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-27 | Peterson, Jeanne E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-27 | 2100 Ashley Oaks Circle, Wesley Chapel, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-05-02 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-02-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
