| Entity Name: | SAN JOSE THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jun 2023 (2 years ago) |
| Document Number: | L23000270535 |
| FEI/EIN Number | 93-1907985 |
| Address: | 4741 Atlantic Boulevard, Park Pointe Office Complex, B-3, JACKSONVILLE, FL 32207 |
| Mail Address: | 5218 ROLLINS AVENUE, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215777990 | 2024-05-29 | 2024-05-29 | 5218 ROLLINS AVE, JACKSONVILLE, FL, 322077712, US | 4741 ATLANTIC BLVD, JACKSONVILLE, FL, 322071114, US | |||||||||||||
|
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| Phone | +1 904-345-0211 |
Authorized person
| Name | EDWIN DILONE |
| Role | PRESIDENT |
| Phone | 2085192827 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DILONE, EDWIN E | Agent | 5218 ROLLINS AVENUE, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| DILONE, EDWIN E | Manager | 5218 ROLLINS AVENUE, JACKSONVILLE, FL 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-04 | 4741 Atlantic Boulevard, Park Pointe Office Complex, B-3, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| Florida Limited Liability | 2023-06-05 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
