| Entity Name: | WUNDERMAN & WUNDERMAN, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Mar 1993 (32 years ago) |
| Document Number: | P93000023342 |
| FEI/EIN Number | 65-0409876 |
| Address: | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 |
| Mail Address: | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023289212 | 2008-03-17 | 2008-03-17 | 8600 SW 92ND ST, SUITE 203, MIAMI, FL, 331567397, US | 8600 SW 92ND ST, SUITE 203, MIAMI, FL, 331567397, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-595-6633 |
| Fax | 3053857164 |
Authorized person
| Name | DR. TERILEE WUNDERMAN |
| Role | VICE PRESIDENT |
| Phone | 3055956633 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY4278 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP |
| Number | 24151 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WUNDERMAN, TERILEE | Agent | 8600 SW 92 STREET, SUITE 203, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| WUNDERMAN, TERILEE | President | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| WUNDERMAN, TERILEE | Secretary | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| WUNDERMAN, TERILEE | Treasurer | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| WUNDERMAN, TERILEE | Director | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000120962 | OREN WUNDERMAN, PH.D. | ACTIVE | 2016-11-08 | 2026-12-31 | No data | 8600 SW 92 STREET, SUTIE 203, MIAMI, FL, 33156 |
| G16000120409 | TERILEE WUNDERMAN, PH.D. | ACTIVE | 2016-11-07 | 2026-12-31 | No data | 8600 SW 92 STREET, SUITE 203, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-17 | WUNDERMAN, TERILEE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-08 | 8600 SW 92 STREET, SUITE 203, MIAMI, FL 33156 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1999-02-22 | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 1999-02-22 | 8600 S.W. 92 STREET, SUITE 203, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
