| Entity Name: | ANDREW PLEENER, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 May 2019 (6 years ago) |
| Document Number: | P19000043430 |
| FEI/EIN Number | 84-1951129 |
| Address: | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786, US |
| Mail Address: | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255979449 | 2019-12-18 | 2020-01-13 | 11300 CITRA CIR APT 108, WINDERMERE, FL, 347865944, US | 9100 CONROY WINDERMERE RD STE 269, WINDERMERE, FL, 347868431, US | |||||||||||||||||||||
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| Phone | +1 301-461-5137 |
| Phone | +1 407-462-1254 |
| Fax | 4076046614 |
Authorized person
| Name | DR. ANDREW PAUL PLEENER |
| Role | OWNER/CEO |
| Phone | 3014615137 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUIE JAY | Agent | 225 E. ROBINSON STREET, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| PLEENER DR. ANDREW | President | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| PLEENER DR. ANDREW | Vice President | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| PLEENER DR. ANDREW | Secretary | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| PLEENER DR. ANDREW | Treasurer | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| PLEENER DR. ANDREW | Director | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| Hrnic Amanda | Officer | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000069679 | REGIONAL PSYCHIATRY | ACTIVE | 2019-06-20 | 2029-12-31 | No data | 9100 CONROY WINDERMERE ROAD, SUITE 200, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-13 | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-13 | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL 34786 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-07 |
| ANNUAL REPORT | 2022-01-08 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-06-29 |
| Domestic Profit | 2019-05-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
