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PEDIATRIC THERAPY OF ORMOND, LLC - Florida Company Profile

Company Details

Entity Name: PEDIATRIC THERAPY OF ORMOND, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PEDIATRIC THERAPY OF ORMOND, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 05 Jul 2007 (18 years ago)
Document Number: L07000070423
FEI/EIN Number 510641424

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 16 BLACK WATER WAY, ROOM 1, ORMOND BEACH, FL, 32174
Mail Address: 16 BLACK WATER WAY, ROOM 1, ORMOND BEACH, FL, 32174
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679227508 2022-02-09 2022-02-09 16 BLACK WATER WAY, ORMOND BEACH, FL, 321745706, US 16 BLACK WATER WAY, ORMOND BEACH, FL, 321745706, US

Contacts

Phone +1 386-871-0428
Fax 3864638565

Authorized person

Name TERI ESSIG
Role OWNER
Phone 3868710428

Taxonomy

Taxonomy Code 252Y00000X - Early Intervention Provider Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 016451300
State FL

Key Officers & Management

Name Role Address
ESSIG TERI L Managing Member 16 BLACK WATER WAY, ROOM 1, ORMOND BEACH, FL, 32174
ESSIG TERI L Agent 16 BLACK WATER WAY, ROOM 1, ORMOND BEACH, FL, 32174

Documents

Name Date
ANNUAL REPORT 2025-01-05
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-24

Date of last update: 02 May 2025

Sources: Florida Department of State