| Entity Name: | BLUE BIRD OT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Mar 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L16000058432 |
| FEI/EIN Number | 81-1884173 |
| Address: | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 |
| Mail Address: | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649730045 | 2019-03-21 | 2019-03-21 | 501 KNIGHTS RUN AVE APT 4102, TAMPA, FL, 336025948, US | 501 KNIGHTS RUN AVE APT 4102, TAMPA, FL, 336025948, US | |||||||||||||||||||
|
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| Phone | +1 501-317-8713 |
Authorized person
| Name | BRECCA LYNN MICHAUD |
| Role | OWNER |
| Phone | 5013178713 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 742945 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MICHAUD, BRECCA LYNN | Agent | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 |
| Name | Role | Address |
|---|---|---|
| MICHAUD, BRECCA LYNN | Manager | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-12 | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-12 | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-12 | 1951 Bayou Grande Blvd NE, Saint Petersburg, FL 33703 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-19 | MICHAUD, BRECCA LYNN | No data |
| LC STMNT OF RA/RO CHG | 2017-07-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-02-16 |
| CORLCRACHG | 2017-07-21 |
| ANNUAL REPORT | 2017-01-16 |
| Florida Limited Liability | 2016-03-22 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
