| Entity Name: | TRUE BLUE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jul 2005 (20 years ago) |
| Document Number: | L05000071928 |
| FEI/EIN Number | 753197648 |
| Address: | 2530 RIDGETOP WAY, VALRICO, FL, 33594, US |
| Mail Address: | 2530 RIDGETOP WAY, VALRICO, FL, 33594, US |
| ZIP code: | 33594 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952443277 | 2007-02-13 | 2018-07-03 | 2530 RIDGETOP WAY, VALRICO, FL, 335944223, US | 2530 RIDGETOP WAY, VALRICO, FL, 33594, US | |||||||||||||||||||||||||||
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| Phone | +1 813-684-9985 |
Authorized person
| Name | CRISTIANE CARMO |
| Role | MANAGER |
| Phone | 8136849985 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 889657702 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARMO CRISTIANE F | Agent | 2530 RIDGETOP WAY, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| CARMO CRISTIANE | Manager | 2530 RIDGETOP WAY, VALRICO, FL, 33594 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2009-01-17 | 2530 RIDGETOP WAY, VALRICO, FL 33594 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-22 | 2530 RIDGETOP WAY, VALRICO, FL 33594 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
