| Entity Name: | ALBA THERAPY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jun 2022 (3 years ago) |
| Date of dissolution: | 01 Dec 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Dec 2023 (a year ago) |
| Document Number: | L22000292204 |
| FEI/EIN Number | 88-3005494 |
| Address: | 521 PEERLESS CIR, LEHIGH ACRES, FL, 33974, US |
| Mail Address: | 521 PEERLESS CIR, LEHIGH ACRES, FL, 33974, US |
| ZIP code: | 33974 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891407177 | 2022-12-19 | 2022-12-20 | 521 PEERLESS CIR, LEHIGH ACRES, FL, 339749493, US | 521 PEERLESS CIR, LEHIGH ACRES, FL, 339749493, US | |||||||||||||||||||
|
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| Phone | +1 727-314-2808 |
Authorized person
| Name | DAIRY ALFONSO MARTINEZ |
| Role | LEAD ANALYST |
| Phone | 7273142808 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115016500 |
| State | FL |
| Name | Role |
|---|---|
| ONE STOP MULTI SERVICE OFFICE, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ALFONSO MARTINEZ DAIRY | Authorized Member | 521 PEERLESS CIR, LEHIGH ACRES, FL, 33974 |
| BARBON PEREZ ASALY B | Authorized Member | 2438 VERNON AVE S, LEHIGH ACRES, FL, 33973 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-01 |
| ANNUAL REPORT | 2023-03-09 |
| Florida Limited Liability | 2022-06-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
