| Entity Name: | THE PEDS PLACE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Mar 2022 (3 years ago) |
| Document Number: | L22000118513 |
| FEI/EIN Number | 88-1088210 |
| Address: | 11370 SW 21ST ST, MIRAMAR, FL 33025 |
| Mail Address: | 11370 SW 21ST ST, MIRAMAR, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679325070 | 2024-04-01 | 2024-04-01 | 11370 SW 21ST ST, MIRAMAR, FL, 330256633, US | 11370 SW 21ST ST, MIRAMAR, FL, 330256633, US | |||||||||||||
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| Phone | +1 786-879-2726 |
Authorized person
| Name | MRS. ANISIA MARIA ARDERI CANELO |
| Role | PRESIDENT |
| Phone | 7868792726 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARDERI CANELO, ANISIA M | Agent | 11370 SW 21ST ST, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| ARDERI CANELO, ANISIA M | Manager | 11370 SW 21ST ST, MIRAMAR, FL 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-29 | 11370 SW 21ST ST, MIRAMAR, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-03-29 |
| Florida Limited Liability | 2022-03-08 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
