| Entity Name: | SMITA SUNRISE OT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Apr 2024 (10 months ago) |
| Document Number: | L24000193324 |
| Address: | 21818 RAINBOW LAKE COURT, ESTERO, FL 33928 |
| Mail Address: | 21818 RAINBOW LAKE COURT, ESTERO, FL 33928 |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497503205 | 2024-05-07 | 2024-05-13 | 21818 RAINBOW LAKE CT, ESTERO, FL, 339286296, US | 21818 RAINBOW LAKE CT, ESTERO, FL, 339286296, US | |||||||||||||||||
|
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| Phone | +1 850-559-4419 |
Authorized person
| Name | MRS. SMITA PATEL |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 8505594419 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PATEL, SMITA | Agent | 21818 RAINBOW LAKE COURT, ESTERO, FL 33928 |
| Name | Role | Address |
|---|---|---|
| PATEL, SMITA | Manager | 21818 RAINBOW LAKE COURT, ESTERO, FL 33928 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-24 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
