| Entity Name: | THE GULFSIDE GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jul 2005 (20 years ago) |
| Document Number: | L05000070371 |
| FEI/EIN Number | 83-3816566 |
| Address: | 711 Crystal Lake Rd., Lutz, FL, 33548, US |
| Mail Address: | 711 Crystal Lake Rd., Lutz, FL, 33548, US |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851902514 | 2020-08-14 | 2020-09-03 | 711 CRYSTAL LAKE RD, LUTZ, FL, 335486431, US | 711 CRYSTAL LAKE RD, LUTZ, FL, 335486431, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 727-389-1339 |
Authorized person
| Name | GRACE PORTOGHESE |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 7273891339 |
Taxonomy
| Taxonomy Code | 225XH1200X - Hand Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LYONS GARY W | Agent | 311 SOUTH MISSOURI AVENUE, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| PORTOGHESE DOMINICK | Manager | 711 Crystal Lake Rd., Lutz, FL, 33548 |
| Name | Role | Address |
|---|---|---|
| Portoghese Grace T | Auth | 711 Crystal Lake Rd., Lutz, FL, 33548 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000022620 | KIDZ RX | ACTIVE | 2019-02-14 | 2029-12-31 | No data | 711 CRYSTAL LAKE RD, LUTZ, FL, 33548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-17 | 711 Crystal Lake Rd., Lutz, FL 33548 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-17 | 711 Crystal Lake Rd., Lutz, FL 33548 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-03-26 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-08 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
