| Entity Name: | TERESA CARRENO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Jul 1997 (28 years ago) |
| Document Number: | P97000059873 |
| FEI/EIN Number | 65-0765486 |
| Address: | 9480 SW 77TH AVE, MIAMI, FL 33156 |
| Mail Address: | 9480 SW 77TH AVE, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417177312 | 2007-04-26 | 2020-08-22 | 9480 SW 77TH AVE, MIAMI, FL, 331567903, US | 9480 SW 77TH AVE, MIAMI, FL, 331567903, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-595-1616 |
| Fax | 3055957272 |
Authorized person
| Name | TERESA CARRENO |
| Role | PRESIDENT |
| Phone | 3055951616 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME67115 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME67115 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CARRENO, TERESA | Agent | 9480 SW 77TH AVE, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| CARRENO, TERESA | President | 9480 SW 77TH AVE, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| CARRENO, TERESA | Director | 9480 SW 77TH AVE, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-23 | 9480 SW 77TH AVE, MIAMI, FL 33156 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-23 | 9480 SW 77TH AVE, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2001-04-24 | 9480 SW 77TH AVE, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
