| Entity Name: | ORANGE BLOSSOM THERAPY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Mar 2020 (5 years ago) |
| Document Number: | L20000083046 |
| FEI/EIN Number | 85-1039079 |
| Address: | 4511 Sun N Lake Blvd, Sebring, FL, 33872, US |
| Mail Address: | 4511 Sun N Lake Blvd, Sebring, FL, 33872, US |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013530021 | 2020-05-26 | 2020-05-26 | 4325 SUN N LAKE BLVD STE 103, SEBRING, FL, 338722171, US | 4325 SUN N LAKE BLVD STE 103, SEBRING, FL, 338722171, US | |||||||||||||||||
|
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| Phone | +1 863-381-2491 |
Authorized person
| Name | ASHLEY WORDEN |
| Role | OT/MANAGER |
| Phone | 8633812491 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WORDEN ASHLEY S | Agent | 5325 E LONGSHOT LANE, AVON PARK, FL, 33825 |
| Name | Role | Address |
|---|---|---|
| WACASTER ELIZABETH | Manager | 8837 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| WORDEN ASHLEY S | Manager | 5325 E LONGSHOT LANE, AVON PARK, FL, 33825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-23 | 4511 Sun N Lake Blvd, Suite 104, Sebring, FL 33872 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-25 | 4511 Sun N Lake Blvd, Suite 104, Sebring, FL 33872 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-01-23 |
| Florida Limited Liability | 2020-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
