| Entity Name: | RADIANT PEDIATRIC THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Mar 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Oct 2019 (5 years ago) |
| Document Number: | L12000033216 |
| FEI/EIN Number | 45-4735867 |
| Address: | 10901 SW 102ND CT, MIAMI, FL, 33176, US |
| Mail Address: | 10901 SW 102ND CT, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760946990 | 2019-01-22 | 2019-10-03 | 10901 SW 102ND CT, MIAMI, FL, 331763472, US | 10901 SW 102ND CT, MIAMI, FL, 331763472, US | |||||||||||||||||||||
|
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| Phone | +1 786-200-8222 |
| Fax | 7869135062 |
Authorized person
| Name | ELIZABETH ANN PATRICK |
| Role | OWNER |
| Phone | 7862008222 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004566900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATRICK ELIZABETH ANN | Agent | 10901 SW 102ND CT, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| PATRICK ELIZABETH A | Managing Member | 10901 SW 102ND CT, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-03-20 | PATRICK, ELIZABETH ANN | No data |
| LC STMNT OF RA/RO CHG | 2019-10-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-15 | 10901 SW 102ND CT, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-15 | 10901 SW 102ND CT, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-20 |
| CORLCRACHG | 2019-10-15 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
