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PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC

Company Details

Entity Name: PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Aug 2014 (10 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L14000134891
FEI/EIN Number 47-1710967
Address: 6027 Key West Road, Pensacola, FL, 32526, US
Mail Address: 6027 Key West Road, Pensacola, FL, 32526, US
ZIP code: 32526
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073913893 2014-08-28 2014-08-28 7840 LILAC LN, APT 508, PENSACOLA, FL, 325147668, US 7840 LILAC LN, APT 508, PENSACOLA, FL, 325147668, US

Contacts

Phone +1 850-260-9016
Fax 8509128561

Authorized person

Name MR. TYLER RUSSELL STEVERSON
Role OWNER
Phone 8502609016

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
STEVERSON TYLER R Agent 6027 Key West Road, Pensacola, FL, 32526

Authorized Representative

Name Role Address
STEVERSON TYLER R Authorized Representative 6027 Key West Road, Pensacola, FL, 32526

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000128999 ENCOMPASS COUNSELING EXPIRED 2016-12-01 2021-12-31 No data 6527 KEY WEST ROAD, PENSCOLA, FL, 32526

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-01-19 6027 Key West Road, Pensacola, FL 32526 No data
CHANGE OF MAILING ADDRESS 2016-01-19 6027 Key West Road, Pensacola, FL 32526 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-19 6027 Key West Road, Pensacola, FL 32526 No data

Documents

Name Date
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-02-07
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-03-26
Florida Limited Liability 2014-08-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State