| Entity Name: | SUMMIT THERAPIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2021 (4 years ago) |
| Document Number: | L21000037054 |
| FEI/EIN Number | 861517433 |
| Address: | 1437 ARBITUS CIR, OVIEDO, FL, 32765, UN |
| Mail Address: | 1437 ARBITUS CIR, OVIEDO, FL, 32765, UN |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073104378 | 2021-01-29 | 2022-01-25 | 1437 ARBITUS CIR, OVIEDO, FL, 327658048, US | 1437 ARBITUS CIR, OVIEDO, FL, 327658048, US | |||||||||||||||||||||||||
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| Phone | +1 321-277-2664 |
Authorized person
| Name | HEATHER MARIE PAVICH |
| Role | BEHAVIOR ANALYST |
| Phone | 3212772664 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1770825028 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1255667259 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAVICH HEATHER M | Agent | 1437 ARBITUS CIR, OVIEDO, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| MARSH KIMBERLY M | Authorized Representative | 657 SMOKERISE BLVD, LONGWOOD, FL, 32779 |
| PAVICH HEATHER | Authorized Representative | 1437 ARBITUS CIR, OVIEDO, FL, 32765 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-26 |
| Florida Limited Liability | 2021-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
