| Entity Name: | LAWRENCE E WEAVER, D.D.S., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Nov 2017 (7 years ago) |
| Document Number: | P17000089888 |
| FEI/EIN Number | 82-3398138 |
| Address: | 1957 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1957 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891087672 | 2011-05-11 | 2011-05-11 | 1957 RAYMOND DIEHL RD, TALLAHASSEE, FL, 323083841, US | 1957 RAYMOND DIEHL RD, TALLAHASSEE, FL, 323083841, US | |||||||||||||||||
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| Phone | +1 850-385-2003 |
Authorized person
| Name | DR. LAWRENCE E WEAVER |
| Role | OWNER/DENTIST |
| Phone | 8503852003 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN13009 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEAVER LAWRENCE E | Agent | 1957 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| WEAVER LAWRENCE E | President | 1957 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| WEAVER GINA M | Vice President | 1957 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-03 |
| Domestic Profit | 2017-11-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
