| Entity Name: | MOSAIC THERAPY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2017 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 25 Oct 2021 (3 years ago) |
| Document Number: | L17000256176 |
| FEI/EIN Number | 82-3716628 |
| Address: | 14700 TAMIAMI TRAIL N, NAPLES, FL, 34110, US |
| Mail Address: | 14700 TAMIAMI TRAIL N, NAPLES, FL, 34110, US |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194232561 | 2018-01-05 | 2022-02-05 | 14700 TAMIAMI TRL N STE 1, NAPLES, FL, 341106221, US | 14700 TAMIAMI TRL N STE 1, NAPLES, FL, 341106221, US | |||||||||||||||||||||||||
|
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| Phone | +1 239-249-5292 |
Authorized person
| Name | JESSICA ANN ROSEN |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 2392495292 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA12231 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JESSICA ROSEN | Agent | 14700 Tami Ami Tr N, Naples, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| ROSEN JESSICA | Manager | 16217 CAMDEN LAKES CIRCLE, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 14700 Tami Ami Tr N, Unit 1, Naples, FL 34110 | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-10-25 | MOSAIC THERAPY SERVICES LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-25 | 14700 TAMIAMI TRAIL N, UNIT 1, NAPLES, FL 34110 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-25 | 14700 TAMIAMI TRAIL N, UNIT 1, NAPLES, FL 34110 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-31 |
| LC Amendment and Name Change | 2021-10-25 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-12 |
| Florida Limited Liability | 2017-12-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
