| Entity Name: | PUZZLES & PUTTY KIDS THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2020 (4 years ago) |
| Document Number: | L19000146218 |
| FEI/EIN Number | 84-2339444 |
| Address: | 13234 NW 8TH TERRACE, MIAMI, FL, 33182, US |
| Mail Address: | 13234 NW 8TH TERRACE, MIAMI, FL, 33182, US |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033764949 | 2019-08-07 | 2019-08-07 | 7261 S WATERWAY DR, MIAMI, FL, 331552766, US | 7261 S WATERWAY DR, MIAMI, FL, 331552766, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 786-702-4663 |
| Fax | 3057671461 |
Authorized person
| Name | UMER SIDDIQUI |
| Role | PRESIDENT |
| Phone | 7867024663 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008154600 |
| State | FL |
| Issuer | NPI |
| Number | 1467790246 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI UMER A | Agent | 13234 NW 8TH TERRACE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI UMER A | President | 13234 NW 8TH TERRACE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| Syed Maaria | Auth | 13234 NW 8TH TERRACE, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-07 | 13234 NW 8TH TERRACE, MIAMI, FL 33182 | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-07 | 13234 NW 8TH TERRACE, MIAMI, FL 33182 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-07 | SIDDIQUI, UMER A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-21 |
| AMENDED ANNUAL REPORT | 2022-06-23 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-30 |
| REINSTATEMENT | 2020-10-07 |
| Florida Limited Liability | 2019-06-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
