| Entity Name: | SUNSHINE PEDIATRIC THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Apr 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Dec 2017 (7 years ago) |
| Document Number: | L13000057330 |
| FEI/EIN Number | 80-0916103 |
| Address: | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 |
| Mail Address: | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265862411 | 2013-11-24 | 2013-11-24 | 601 S TREE GARDEN DR, ST AUGUSTINE, FL, 320865234, US | 601 S TREE GARDEN DR, ST AUGUSTINE, FL, 320865234, US | |||||||||||||||||||||||||||
|
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| Phone | +1 904-669-4285 |
| Fax | 9047976064 |
Authorized person
| Name | KIMBERLY MCKINNEY |
| Role | OWNER |
| Phone | 9046694285 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| License Number | PT 20437 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT 9943 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCKINNEY, KIMBERLY L | Agent | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 |
| Name | Role | Address |
|---|---|---|
| MCKINNEY, KIM | Manager | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 |
| PROCTOR, BOB | Manager | 209 Deltona Blvd, St Augustine, FL 32086 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000118136 | GRACE PELVIC REHABILITATION, LLC | ACTIVE | 2023-09-25 | 2028-12-31 | No data | 552 AVENTURINE AVE, ST AUGUSTINE, FL, 32086 |
| G23000062273 | GRACE PELVIC REHABILITATION, LLC | ACTIVE | 2023-05-17 | 2028-12-31 | No data | 552 AVENTURINE AVE, ST AUGUSTINE, FL, 32086 |
| G19000018367 | AGING AT HOME | ACTIVE | 2019-02-05 | 2029-12-31 | No data | 552 AVENTURINE AVE, ST AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-13 | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-13 | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-13 | 552 Aventurine Ave, ST AUGUSTINE, FL 32086 | No data |
| REINSTATEMENT | 2017-12-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-19 | MCKINNEY, KIMBERLY L | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-07-05 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-04-13 |
| REINSTATEMENT | 2017-12-19 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-05-27 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
