| Entity Name: | DAVID R MATOS OCCUPATIONAL THERAPY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jan 2018 (7 years ago) |
| Document Number: | L18000024258 |
| FEI/EIN Number | 824237715 |
| Address: | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL, 34987, US |
| Mail Address: | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174022859 | 2018-02-07 | 2024-08-01 | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL, 349878708, US | 8881 SW MONTOVA WAY, PORT ST LUCIE, FL, 349878708, US | |||||||||||||||||||||||||
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| Phone | +1 772-521-5238 |
| Fax | 7726738444 |
| Phone | +1 772-275-5549 |
Authorized person
| Name | MR. DAVID ROLANDO MATOS |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 7725215238 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT18631 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATOS DAVID R | Agent | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| MATOS DAVID R | Manager | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL, 34987 |
| Matos Catherine V | Manager | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL, 34987 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000137354 | ONWARD THERAPY PEDIATRICS | ACTIVE | 2022-11-03 | 2027-12-31 | No data | 8881 SW MONTOVA WAY, PORT ST LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-25 | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL 34987 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-25 | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL 34987 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-01 | 8881 SW MONTOVA WAY, PORT SAINT LUCIE, FL 34987 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| AMENDED ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
