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TOTAL THERAPY FLORIDA, LLC

Company Details

Entity Name: TOTAL THERAPY FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Dec 2017 (7 years ago)
Document Number: L17000248139
FEI/EIN Number 61-1863863
Address: 3650 N. Access Road, Englewood, FL, 34224, US
Mail Address: 3650 N. Access Road, Englewood, FL, 34224, US
ZIP code: 34224
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811734544 2024-07-10 2024-07-10 3650 N ACCESS RD, ENGLEWOOD, FL, 342248655, US 100 MADRID BLVD STE 212, PUNTA GORDA, FL, 339507968, US

Contacts

Phone +1 941-460-3831
Fax 9412185627
Phone +1 941-646-8510

Authorized person

Name MARYANNE BOLDUC
Role DIRECTOR OF BILLING
Phone 9414603831

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role
LPS CORPORATE SERVICES, INC. Agent

Manager

Name Role Address
Stiver Justin Manager 3650 N. Access Road, Englewood, FL, 34224
SULLIVAN BRIAN M Manager 3650 N. Access Road, Englewood, FL, 34224

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-01 3650 N. Access Road, Englewood, FL 34224 No data
CHANGE OF MAILING ADDRESS 2022-04-01 3650 N. Access Road, Englewood, FL 34224 No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-04-12
Florida Limited Liability 2017-12-04

Date of last update: 03 Feb 2025

Sources: Florida Department of State