| Entity Name: | EXCEL THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Mar 2012 (13 years ago) |
| Date of dissolution: | 07 Nov 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Nov 2023 (a year ago) |
| Document Number: | L12000039200 |
| FEI/EIN Number | 45-4851402 |
| Address: | 4805 17th Street West, PALMETTO, FL 34221 |
| Mail Address: | 4805 17th Street West, PALMETTO, FL 34221 |
| ZIP code: | 34221 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679935233 | 2016-03-23 | 2016-03-23 | 10901 BUD RHODEN RD, PALMETTO, FL, 342217605, US | 10901 BUD RHODEN RD, PALMETTO, FL, 342217605, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-201-2929 |
Authorized person
| Name | JULIA MELENDEZ |
| Role | VP, CFO |
| Phone | 9412012929 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT24594 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT 9200 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2355A2700X - Audiology Assistant |
| License Number | SA11079 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1598968448 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Melendez, Julia N. | Agent | 4805 17th Street West, PALMETTO, FL 34221 |
| Name | Role | Address |
|---|---|---|
| Melendez, Julia N. | Chief Financial Officer | 4805 17th Street West, Palmetto, FL 34221 |
| Name | Role | Address |
|---|---|---|
| Melendez, Julia N. | Vice President | 4805 17th Street West, Palmetto, FL 34221 |
| Name | Role | Address |
|---|---|---|
| Melendez, Jorge | Chief Executive Officer | 4805 17th Street West, Palmetto, FL 34221 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-01 | Melendez, Julia N. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-25 | 4805 17th Street West, PALMETTO, FL 34221 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-25 | 4805 17th Street West, PALMETTO, FL 34221 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-25 | 4805 17th Street West, PALMETTO, FL 34221 | No data |
| LC DISSOCIATION MEM | 2015-09-09 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-07 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-09-14 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-05-05 |
| ANNUAL REPORT | 2016-07-19 |
| CORLCDSMEM | 2015-09-09 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
