Entity Name: | J. ADKINS OCCUPATIONAL THERAPY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 28 Nov 2023 (a year ago) |
Document Number: | L23000529575 |
Address: | 4100 S FERNDON BLVD., STE. A1, CRESTVIEW, FL 32536 |
Mail Address: | 5139 PINE BERRY RD., MILTON, FL 32583 |
ZIP code: | 32536 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1184464083 | 2024-05-29 | 2024-05-29 | 4100 S FERDON BLVD STE A1, CRESTVIEW, FL, 325365287, US | 4100 S FERDON BLVD STE A1, CRESTVIEW, FL, 325365287, US | |||||||||||||||
|
Phone | +1 850-682-8388 |
Fax | 8506827463 |
Authorized person
Name | JENNIFER L ADKINS |
Role | OWNER |
Phone | 8506828388 |
Taxonomy
Taxonomy Code | 225X00000X - Occupational Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ADKINS, JENNIFER L, AP | Agent | 5139 PINE BERRY RD., MILTON, FL 32583 |
Name | Role | Address |
---|---|---|
ADKINS, JENNIFER L | Authorized Person | 5139 PINE BERRY RD., MILTON, FL 32583 |
Name | Date |
---|---|
Florida Limited Liability | 2023-11-28 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State