| Entity Name: | PEDIATRIC THERAPY FOUNDATION OF ORLANDO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 05 Dec 2012 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | N12000011372 |
| FEI/EIN Number | 46-1522161 |
| Address: | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| Mail Address: | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285971432 | 2013-01-08 | 2013-01-08 | 4401 E COLONIAL DR, SUITE 107, ORLANDO, FL, 328035200, US | 4401 E COLONIAL DR, SUITE 107, ORLANDO, FL, 328035200, US | |||||||||||||||||||||||||||
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| Phone | +1 407-898-5060 |
| Fax | 4078985185 |
Authorized person
| Name | DR. JEFFREY HERMAN |
| Role | PRESIDENT |
| Phone | 4078985060 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA1530 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOLTUN JEFFREY M | Agent | 557 NORTH WYMORE ROAD, SUITE 100, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| HERMAN JEFFREY | Director | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| HERMAN MARY A | Director | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| MURRAY MICHAEL | Director | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| SPERRAZZA ALICIA | Director | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| HERMAN JEFFREY | President | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| ZAREMBSKI MAYLYN | Secretary | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| CUATON EVA | Treasurer | 4401 EAST COLONIAL DRIVE, SUITE 107, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-17 |
| Domestic Non-Profit | 2012-12-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
