| Entity Name: | SENSORY TREE PEDIATRIC THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Sep 2024 (5 months ago) |
| Document Number: | L24000388212 |
| FEI/EIN Number | 99-4867937 |
| Address: | 1036 DUNN AVE, STE 4-175, JACKSONVILLE, FL, 32218 |
| Mail Address: | 1036 DUNN AVE, STE 4-175, JACKSONVILLE, FL, 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861228025 | 2024-09-12 | 2024-09-12 | 1036 DUNN AVE STE 4-175, JACKSONVILLE, FL, 322186349, US | 1036 DUNN AVE STE 4-175, JACKSONVILLE, FL, 322186349, US | |||||||||||||
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| Phone | +1 904-479-5830 |
Authorized person
| Name | BELGIUM LYNN MASOOD |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 9044795830 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MASOOD BELGIUM L | Agent | 6672 RIVER FALLS DR S, JACKSONVILLE, FL, 32219 |
| Name | Role | Address |
|---|---|---|
| MASOOD BELGIUM L | Manager | 6672 RIVER FALLS DR S, JACKSONVILLE, FL, 32219 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
