| Entity Name: | CHILDREN FIRST THERAPEUTICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Feb 2008 (17 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L08000013150 |
| FEI/EIN Number | 900454061 |
| Address: | 397 PALM COAST PKWY. SW, SUITE 1, PALM COAST, FL, 32137 |
| Mail Address: | 397 PALM COAST PKWY. SW, SUITE 1, PALM COAST, FL, 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043466659 | 2008-08-14 | 2008-08-14 | 65 FLEMINGWOOD LN, PALM COAST, FL, 321379260, US | 65 FLEMINGWOOD LN, PALM COAST, FL, 321379260, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 386-793-0612 |
| Fax | 3864475281 |
Authorized person
| Name | MRS. ANDREA LEE MUNOZ |
| Role | OCCUPTAIONAL THERAPIST/OWNER |
| Phone | 3867930612 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | OT#10221 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| License Number | OT#10221 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 889829401 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUNOZ ANDREA | Agent | 208 JEFFERSON AVENUE, MIAMI BEACH, FL, 33139 |
| Name | Role | Address |
|---|---|---|
| MUNOZ ANDREA | Manager | 208 JEFFERSON AVE UNIT 103, MIAMI BEACH, FL, 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-05 | 208 JEFFERSON AVENUE, UNIT 103, MIAMI BEACH, FL 33139 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-07 | 397 PALM COAST PKWY. SW, SUITE 1, PALM COAST, FL 32137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-18 | 397 PALM COAST PKWY. SW, SUITE 1, PALM COAST, FL 32137 | No data |
| CONVERSION | 2008-02-06 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 700000072357 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-01-18 |
| ANNUAL REPORT | 2009-01-10 |
| Florida Limited Liability | 2008-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
