| Entity Name: | SUPREME THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUPREME THERAPY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Nov 2005 (19 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L05000107511 |
| FEI/EIN Number |
203784713
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 734 BLACK IRONWOOD DRIVE, DELAND, FL, 32724, US |
| Mail Address: | 734 BLACK IRONWOOD DRIVE, DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225143647 | 2006-08-19 | 2020-08-22 | 770 KEENELAND PIKE, LAKE MARY, FL, 327463951, US | 770 KEENELAND PIKE, LAKE MARY, FL, 327463951, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 407-321-8833 |
| Fax | 4073229966 |
Authorized person
| Name | MR. JOANNES MARIA CLAESSENS |
| Role | MANAGING MEMBER |
| Phone | 4073218833 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT16865 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT215 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y066A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLAESSENS JON M | Managing Member | 734 BLACK IRONWOOD DRIVE, DELAND, FL, 32724 |
| CLAESSENS JON M | Agent | 734 BLACK IRONWOOD DRIVE, DELAND, FL, 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| LC AMENDMENT | 2021-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-27 | 734 BLACK IRONWOOD DRIVE, DELAND, FL 32724 | - |
| CHANGE OF MAILING ADDRESS | 2021-09-27 | 734 BLACK IRONWOOD DRIVE, DELAND, FL 32724 | - |
| LC AMENDMENT | 2017-06-02 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-14 | 734 BLACK IRONWOOD DRIVE, DELAND, FL 32724 | - |
| REGISTERED AGENT NAME CHANGED | 2009-01-19 | CLAESSENS, JON M | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-24 |
| LC Amendment | 2021-09-27 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-16 |
| LC Amendment | 2017-06-02 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2539227200 | 2020-04-16 | 0491 | PPP | STE 104 282 SHORT AVE, LONGWOOD, FL, 32750-4916 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Apr 2025
Sources: Florida Department of State
