| Entity Name: | THERAPY OUT THE BOX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jun 2017 (8 years ago) |
| Document Number: | L17000139208 |
| FEI/EIN Number | 82-2239047 |
| Address: | 12590 Pines Blvd, PEMBROKE PINES, FL, 33027, US |
| Mail Address: | 12590 Pines Blvd, PEMBROKE PINES, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710489430 | 2018-03-08 | 2018-08-16 | 350 NW 134TH AVE, PEMBROKE PINES, FL, 330282251, US | 12251 TAFT ST STE 302, PEMBROKE PINES, FL, 33026, US | |||||||||||||||||||||||||||
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| Phone | +1 954-536-2319 |
| Phone | +1 954-951-0974 |
| Fax | 9547431915 |
Authorized person
| Name | LAINISHA MCMILLER TURNER |
| Role | OCCUPATIONAL THERAPIST/OWNER |
| Phone | 9545362319 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | 11795 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023979900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCMILLER TURNER LAINISHA | Agent | 12590 Pines Blvd, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| MCMILLER TURNER LAINISHA | Manager | 12590 Pines Blvd, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-09 | 12590 Pines Blvd, #260097, PEMBROKE PINES, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-09 | 12590 Pines Blvd, #260097, PEMBROKE PINES, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-09 | 12590 Pines Blvd, #260097, PEMBROKE PINES, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-03 |
| Florida Limited Liability | 2017-06-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
