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FUNSHINE THERAPY, LLC - Florida Company Profile

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Company Details

Entity Name: FUNSHINE THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Dec 2022 (3 years ago)
Document Number: L22000511029
FEI/EIN Number 92-1271423
Address: 18981 US Highway 441, Mount Dora, FL, 32757, US
Mail Address: 18981 US Highway 441, Mount Dora, FL, 32757, US
ZIP code: 32757
City: Mount Dora
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLACK MICHELE C Authorized Member 18981 US Highway 441, Mount Dora, FL, 32757
NEWTON LISA A Authorized Member 18981 US Highway 441, Mount Dora, FL, 32757
NEWTON LISA A Agent 18981 US Highway 441, Mount Dora, FL, 32757

National Provider Identifier

NPI Number:
1649986647
Certification Date:
2025-04-01

Authorized Person:

Name:
MS. LISA NEWTON
Role:
OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-04-26
Florida Limited Liability 2022-12-05

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Date of last update: 03 Aug 2025

Sources: Florida Department of State