| Entity Name: | CREATIVE OCCUPATIONAL THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Oct 2017 (7 years ago) |
| Document Number: | L17000204266 |
| FEI/EIN Number | 82-3014859 |
| Address: | 21061 WINDEMERE LN, Boca Raton, FL 33428 |
| Mail Address: | 21061 WINDEMERE LN, Boca Raton, FL 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275043887 | 2017-10-09 | 2022-05-24 | 21061 WINDEMERE LN, BOCA RATON, FL, 334281116, US | 21061 WINDEMERE LN, BOCA RATON, FL, 334281116, US | |||||||||||||||||
|
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| Phone | +1 305-776-6577 |
Authorized person
| Name | IRINA SPIVAK |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 3057766577 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | 18616 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPIVAK, IRINA | Agent | 21061 WINDEMERE LN, Boca Raton, FL 33428 |
| Name | Role | Address |
|---|---|---|
| SPIVAK, IRINA | Authorized Representative | 21061 WINDEMERE LN, Boca Raton, FL 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 21061 WINDEMERE LN, Boca Raton, FL 33428 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-25 | 21061 WINDEMERE LN, Boca Raton, FL 33428 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 21061 WINDEMERE LN, Boca Raton, FL 33428 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-17 |
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-03-28 |
| Florida Limited Liability | 2017-10-03 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
