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M.D. THERAPY SERVICES, LLC

Company Details

Entity Name: M.D. THERAPY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 27 Aug 2021 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 30 Sep 2021 (3 years ago)
Document Number: L21000384545
FEI/EIN Number 59-3369535
Address: 9225 82nd Ave N., 20, Seminole, FL 33777
Mail Address: 9225 82nd Ave N., 20, Seminole, FL 33777
ZIP code: 33777
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205855491 2006-07-19 2022-02-04 4655 SALISBURY RD STE 110, JACKSONVILLE, FL, 322560957, US 455 BELCHER RD S, LARGO, FL, 337715522, US

Contacts

Phone +1 904-333-9820
Fax 7273282071
Phone +1 727-328-0599

Authorized person

Name MR. ROBERT GREGORY YOUNG
Role SECRETARY & CAO
Phone 9047331003

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
Rory B. Weiner, PA Agent 635 W Lumsden Rd, Brandon, FL 33511

Manager

Name Role Address
Short, Tanya D. Manager 3100 65th Way N., St. Petersburg, FL 33710

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000011210 CONCIERGE THERAPY SOLUTIONS ACTIVE 2022-01-26 2027-12-31 No data 13923 ICOT BLVD., STE. 815, CLEARWATER, FL, 33760
G21000117211 FUSION HEALTHCARE ACTIVE 2021-09-13 2026-12-31 No data 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-06 9225 82nd Ave N., 20, Seminole, FL 33777 No data
CHANGE OF MAILING ADDRESS 2023-04-06 9225 82nd Ave N., 20, Seminole, FL 33777 No data
REGISTERED AGENT NAME CHANGED 2023-04-06 Rory B. Weiner, PA No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-06 635 W Lumsden Rd, Brandon, FL 33511 No data
LC AMENDMENT 2021-09-30 No data No data
CONVERSION 2021-08-27 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P95000080077. CONVERSION NUMBER 700000217367

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-02-09
LC Amendment 2021-09-30
Florida Limited Liability 2021-08-27

Date of last update: 13 Jan 2025

Sources: Florida Department of State