| Entity Name: | NORTH FLORIDA THERAPY ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2008 (16 years ago) |
| Document Number: | L08000090703 |
| FEI/EIN Number | 263517580 |
| Address: | 784 Blanding Blvd., ORANGE PARK, FL, 32065, US |
| Mail Address: | 784 Blanding Blvd., ORANGE PARK, FL, 32065, US |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891947537 | 2008-10-14 | 2022-11-03 | 784 BLANDING BLVD STE 108, ORANGE PARK, FL, 320657724, US | 784 BLANDING BLVD STE 108, ORANGE PARK, FL, 320657724, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-264-2636 |
| Fax | 9045171621 |
Authorized person
| Name | MELISSA GILLMER |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 9049102296 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT9446 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA8670 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GILLMER MELISSA J | Agent | 784 Blanding Blvd., ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| GILLMER MELISSA J | Manager | 784 Blanding Blvd., ORANGE PARK, FL, 32065 |
| Gillmer Lloyd EII | Manager | 784 Blanding Blvd., ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-15 | 784 Blanding Blvd., Suite 108, ORANGE PARK, FL 32065 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-15 | 784 Blanding Blvd., Suite 108, ORANGE PARK, FL 32065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-15 | 784 Blanding Blvd., Suite 108, ORANGE PARK, FL 32065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
