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J. ADKINS OCCUPATIONAL THERAPY, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ADKINS, JENNIFER L, AP Agent 5139 PINE BERRY RD., MILTON, FL 32583

Authorized Person

Name Role Address
ADKINS, JENNIFER L Authorized Person 5139 PINE BERRY RD., MILTON, FL 32583

Documents

Name Date
Florida Limited Liability 2023-11-28

Date of last update: 09 Feb 2025

Sources: Florida Department of State