| Entity Name: | FLORIDA PEDIATRIC THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2007 (17 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 27 Aug 2007 (17 years ago) |
| Document Number: | L07000088092 |
| FEI/EIN Number | 113821458 |
| Address: | 12901 BROLEMAN ROAD, ORLANDO, FL, 32832, US |
| Mail Address: | 12901 BROLEMAN ROAD, ORLANDO, FL, 32832, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457007742 | 2022-02-24 | 2022-02-24 | 12901 BROLEMAN RD, ORLANDO, FL, 328326107, US | 12901 BROLEMAN RD, ORLANDO, FL, 328326107, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-641-0808 |
Authorized person
| Name | CAROLINE L BIAS |
| Role | OWNER |
| Phone | 4076410808 |
Taxonomy
| Taxonomy Code | 222Q00000X - Developmental Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 812213000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BIAS CAROLINE L | Agent | 12901 BROLEMAN ROAD, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| BIAS CAROLINE L | Manager | 12901 BROLEMAN ROAD, ORLANDO, FL, 32832 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000008282 | FPTL ENTERPRISES | ACTIVE | 2022-01-23 | 2027-12-31 | No data | 12901 BROLEMAN RD, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-24 | 12901 BROLEMAN ROAD, ORLANDO, FL 32832 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-11-04 | 12901 BROLEMAN ROAD, ORLANDO, FL 32832 | No data |
| CHANGE OF MAILING ADDRESS | 2015-11-04 | 12901 BROLEMAN ROAD, ORLANDO, FL 32832 | No data |
| CONVERSION | 2007-08-27 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 900000067959 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-04-02 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
