| Entity Name: | NOURISH PEDIATRIC THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jun 2017 (8 years ago) |
| Date of dissolution: | 29 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2021 (4 years ago) |
| Document Number: | L17000127365 |
| FEI/EIN Number | 82-2443470 |
| Address: | 1900 JAKE STREET, UNIT # 105, ORLANDO, FL, 32814, US |
| Mail Address: | 1900 JAKE STREET, UNIT #105, ORLANDO, FL, 32814, US |
| ZIP code: | 32814 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265942205 | 2017-10-04 | 2017-12-01 | 1900 JAKE ST UNIT 105, ORLANDO, FL, 328145915, US | 1900 JAKE ST UNIT 105, ORLANDO, FL, 328145915, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-227-8370 |
Authorized person
| Name | AMANDA STEVENS |
| Role | SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 4072278370 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONES DOMINIQUE | Agent | 1192 ARONIMINIK DR., MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| STEVENS AMANDA | Managing Member | 1900 JAKE STREET #105, ORLANDO, FL, 32814 |
| JONES DOMINIQUE | Managing Member | 1192 ARONIMINIK DR., MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-15 | 1900 JAKE STREET, UNIT # 105, ORLANDO, FL 32814 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-15 | 1900 JAKE STREET, UNIT # 105, ORLANDO, FL 32814 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-29 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-06 |
| Florida Limited Liability | 2017-06-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
