| Entity Name: | PEDIATRIC THERAPY LINKS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2020 (4 years ago) |
| Document Number: | L20000266662 |
| FEI/EIN Number | 85-2884675 |
| Address: | 2684 SW Immanuel Drive, PALM CITY, FL 34990 |
| Mail Address: | 2684 SW Immanuel Drive, PALM CITY, FL 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134734783 | 2020-09-10 | 2023-10-13 | 1151 SW 30TH ST STE E, PALM CITY, FL, 349902985, US | 2684 SW IMMANUEL DR, PALM CITY, FL, 349902738, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-291-2179 |
| Fax | 7726008274 |
Authorized person
| Name | KERRI DELBARCO UNGAR |
| Role | SPEECH LANGUAGE PATHOLOGIST/ OWNER |
| Phone | 7722912179 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107982700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| delBarco UNGAR, KERRI A | Agent | 2684 SW Immanuel Drive, PALM CITY, FL 34990 |
| Name | Role | Address |
|---|---|---|
| delBarco UNGAR, KERRI A | Manager | 2684 SW Immanuel Drive, PALM CITY, FL 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-14 | 2684 SW Immanuel Drive, PALM CITY, FL 34990 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-14 | 2684 SW Immanuel Drive, PALM CITY, FL 34990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-14 | 2684 SW Immanuel Drive, PALM CITY, FL 34990 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-15 | delBarco UNGAR, KERRI A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| AMENDED ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-15 |
| ANNUAL REPORT | 2021-02-10 |
| Florida Limited Liability | 2020-08-27 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
