| Entity Name: | MARIE BEAUREGARD WEISS LCSW, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 May 2024 (8 months ago) |
| Document Number: | P24000033299 |
| Address: | 10501 WOODLAND WATERS BLVD, WEEKI WACHEE, FL 34613 |
| Mail Address: | 10501 WOODLAND WATERS BLVD, WEEKI WACHEE, FL 34613 |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932945409 | 2024-07-03 | 2024-07-03 | 10501 WOODLAND WATERS BLVD, WEEKI WACHEE, FL, 346136410, US | 10501 WOODLAND WATERS BLVD, WEEKI WACHEE, FL, 346136410, US | |||||||||||||||
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| Phone | +1 917-470-0284 |
| Fax | 7183514786 |
Authorized person
| Name | MARIE BEAUREGARD-WEISS |
| Role | OWNER |
| Phone | 9174700284 |
Taxonomy
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEAUREGARD, MARIE | Agent | 10501 WOODLAND WATERS BLVD, WEEKI WACHEE, FL 34613 |
| Name | Role | Address |
|---|---|---|
| BEAUREGARD, MARIE | President | 10501 WOODLAND WATERS BLVD, WEEKI WACHEE, FL 34613 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-05-15 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
