| Entity Name: | THRIVE PEDIATRIC THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jun 2024 (8 months ago) |
| Document Number: | L24000267379 |
| Address: | 3965 SAN JOSE BLVD., JACKSONVILLE, FL 32207 |
| Mail Address: | 3965 SAN JOSE BLVD., JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295564490 | 2024-07-29 | 2024-07-29 | 3965 SAN JOSE BLVD, JACKSONVILLE, FL, 322076060, US | 3965 SAN JOSE BLVD, JACKSONVILLE, FL, 322076060, US | |||||||||||||||||||||
|
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| Phone | +1 904-613-1171 |
Authorized person
| Name | ANGELA CABLE |
| Role | OWNER, MANAGING DIRECTOR |
| Phone | 9043157373 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225XF0002X - Feeding, Eating & Swallowing Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CABLE, ANGELA B | Agent | 3965 SAN JOSE BLVD, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| CABLE, ANGELA B | Manager | 3965 SAN JOSE BLVD, JACKSONVILLE, FL 32207 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-12 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
