| Entity Name: | BACK 2 BASICS OT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BACK 2 BASICS OT, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Mar 2018 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L18000071096 |
| FEI/EIN Number |
82-4977605
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 134 HONORS WAY, WINTER SPRINGS, FL, 32708, US |
| Mail Address: | 134 HONORS WAY, WINTER SPRINGS, FL, 32708, US |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780170498 | 2018-07-05 | 2018-09-25 | 134 HONORS WAY, WINTER SPRINGS, FL, 327086352, US | 134 HONORS WAY, WINTER SPRINGS, FL, 327086352, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-376-2592 |
| Fax | 4073694221 |
Authorized person
| Name | SOLINA BRAININ-MATTOS |
| Role | OWNER/PRESIDENT |
| Phone | 4073762592 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT14072 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1043503485 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRAININ-MATTOS SOLINA | Manager | 134 HONORS WAY, WINTER SPRINGS, FL, 32708 |
| PAGAN-RIVERA ENRIQUE A | Authorized Representative | 134 HONORS WAY, WINTER SPRINGS, FL, 32708 |
| BRAININ-MATTOS SOLINA | Agent | 134 HONORS WAY, WINTER SPRINGS, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-29 |
| Florida Limited Liability | 2018-03-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
