| Entity Name: | SENSATIONAL KIDS THERAPY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Nov 2008 (16 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L08000106132 |
| FEI/EIN Number | 263714906 |
| Address: | 1851 Golden Eagle Way, Fleming Island, FL, 32003, US |
| Mail Address: | 1851 Golden Eagle Way, Suite 43, Fleming Island, FL, 32003, US |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659621092 | 2012-09-13 | 2012-09-13 | 4829 INNISBROOK COURT S., ELKTON, FL, 320332061, US | 150 KENT RD., 2B, SAINT AUGUSTINE, FL, 32086, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 904-374-1414 |
Authorized person
| Name | AMANDA AUGUST |
| Role | CO-OWNER |
| Phone | 9043741414 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000781600 |
| State | FL |
| Issuer | BLUE CROSS AND BLUE SHIELD |
| Number | Y90MV |
| State | FL |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROGERS GORDY | Authorized Member | 403 BERGEN ST APT 2, BROOKLYN, NY, 11217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-28 | 7901 4TH STREET N,, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-24 | 1851 Golden Eagle Way, Ste # 43, Fleming Island, FL 32003 | No data |
| LC AMENDMENT | 2017-11-01 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-10-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-05 | NORTHWEST REGISTERED AGENT LLC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-06 | 1851 Golden Eagle Way, Ste # 43, Fleming Island, FL 32003 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000498808 | ACTIVE | 1000000967139 | ST JOHNS | 2023-10-12 | 2033-10-18 | $ 594.04 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J22000171845 | ACTIVE | 1000000920330 | ST JOHNS | 2022-04-04 | 2032-04-05 | $ 977.92 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKE CITY SERVICE CENTER, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-24 |
| LC Amendment | 2017-11-01 |
| CORLCRACHG | 2017-10-05 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-06 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
