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360 THERAPY LLC

Company Details

Entity Name: 360 THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Jun 2020 (5 years ago)
Document Number: L20000170155
FEI/EIN Number 85-1639347
Address: 8418 East Bay Blvd, Navarre, FL 32566
Mail Address: 8418 East Bay Blvd, Navarre, FL 32566
ZIP code: 32566
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588282172 2020-07-09 2021-04-22 8418 E BAY BLVD, NAVARRE, FL, 325666306, US 8418 E BAY BLVD, NAVARRE, FL, 325666306, US

Contacts

Phone +1 850-348-1899

Authorized person

Name MELISSA BLAKE
Role OFFICE ADMINISTRATOR
Phone 8503481899

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role Address
BLAKE, MELISSA Agent 8418 East Bay Blvd, Navarre, FL 32566

Authorized Person

Name Role Address
BLAKE, MELISSA Authorized Person 8418 East Bay Blvd, Navarre, FL 32566

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-30 8418 East Bay Blvd, Navarre, FL 32566 No data
CHANGE OF MAILING ADDRESS 2021-03-30 8418 East Bay Blvd, Navarre, FL 32566 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-30 8418 East Bay Blvd, Navarre, FL 32566 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-03-30
Florida Limited Liability 2020-06-18

Date of last update: 15 Jan 2025

Sources: Florida Department of State