| Entity Name: | JAD ESMOND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2006 (19 years ago) |
| Document Number: | L06000005375 |
| FEI/EIN Number | 510666829 |
| Address: | 168 SIMS CREEK LANE, JUPITER, FL, 33458 |
| Mail Address: | 6671 WEST INDIANTOWN RD, # 129, JUPITER, FL, 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1437576238 | 2014-03-19 | 2014-04-19 | 6671 W INDIANTOWN RD, SUITE 129, JUPITER, FL, 334583991, US | 168 SIMS CREEK LN, JUPITER, FL, 334587984, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-718-9844 |
| Fax | 5617448870 |
Authorized person
| Name | MRS. ANITA MARIE MAREUS |
| Role | DIRECTOR OF CLINICAL SERVICES |
| Phone | 9548653705 |
Taxonomy
| Taxonomy Code | 225000000X - Orthotic Fitter |
| License Number | OT11518 |
| State | TN |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XE1200X - Ergonomics Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XF0002X - Feeding, Eating & Swallowing Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XG0600X - Gerontology Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XH1200X - Hand Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XL0004X - Low Vision Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XM0800X - Mental Health Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT11518 |
| State | TN |
| Is Primary | No |
Other Provider Identifiers
| Issuer | TAXONOMY CODE |
| Number | 225X00000X |
| State | FL |
| Issuer | NPI # |
| Number | 1891891297 |
| State | FL |
| Issuer | MEDICAID |
| Number | 891985200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 010042600 |
| State | FL |
| Issuer | OT LICENSE # |
| Number | OT11518 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REESE VICTORIA | Agent | 168 SIMS CREEK LANE, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| REESE VICTORIA | Prin | 168 SIMS CREEK LANE, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000030797 | FL CONCRETE FACELIFT | ACTIVE | 2022-03-07 | 2027-12-31 | No data | 168 SIMS CREEK LANE, JUPITER, FL, 33458 |
| G20000143157 | EZ FL INSURE | ACTIVE | 2020-11-06 | 2025-12-31 | No data | 168 SIMS CREEK LANE, JUPITER, FL, 33458 |
| G16000043986 | BUSINESS CONCIERGE SERVICES | ACTIVE | 2016-04-30 | 2027-12-31 | No data | 168 SIMS CREEK LANE, SUITE 129, JUPITER, FL, 33458 |
| G14000021299 | SUCCESS FOR SPECIAL KIDS | EXPIRED | 2014-02-28 | 2019-12-31 | No data | 6671 W INDIANTOWN RD, SUITE 129, JUPITER, FL, 33458 |
| G10000065958 | EZ FL INSURE | EXPIRED | 2010-07-16 | 2015-12-31 | No data | 6671 WEST INDIANTOWN RD, #129, JUPITER, FL, 33458 |
| G08035900226 | NU UNDERGROUND ENTERTAINMENT | EXPIRED | 2008-02-03 | 2013-12-31 | No data | 168 SIMS CREEK LANE, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-03-29 | 168 SIMS CREEK LANE, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-31 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
