| Entity Name: | SUNRISE THERAPY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Apr 2014 (11 years ago) |
| Date of dissolution: | 27 Apr 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Apr 2016 (9 years ago) |
| Document Number: | L14000056574 |
| FEI/EIN Number | 46-5378084 |
| Address: | 11495 Forest Mere Dr., Bonita Springs, FL, 34135, US |
| Mail Address: | 11495 Forest Mere Dr., Bonita Springs, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003236993 | 2014-04-18 | 2014-12-23 | 8951 BONITA BEACH RD SE STE 525317, BONITA SPRINGS, FL, 341354201, US | 8951 BONITA BEACH RD SE STE 525317, BONITA SPRINGS, FL, 341354201, US | |||||||||||||||||||||||
|
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| Phone | +1 239-300-5966 |
Authorized person
| Name | MS. LISA ANNE TERRY |
| Role | OWNER |
| Phone | 2393005966 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 12253 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010976400 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| TERRY LISA | Authorized Member | 11495 Forest Mere Dr., Bonita Springs, FL, 34135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| VOLUNTARY DISSOLUTION | 2016-04-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-12 | 11495 Forest Mere Dr., Bonita Springs, FL 34135 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-12 | 11495 Forest Mere Dr., Bonita Springs, FL 34135 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-27 |
| ANNUAL REPORT | 2015-04-12 |
| Florida Limited Liability | 2014-04-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
