| Entity Name: | RAYMOND E. PETERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Aug 2000 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Jan 2018 (7 years ago) |
| Document Number: | P00000075243 |
| FEI/EIN Number | 522256949 |
| Address: | 9240 BONITA BEACH RD SE, SUITE 2206, BONITA SPRINGS, FL, 34135, US |
| Mail Address: | 9240 BONITA BEACH RD SE, SUITE 2206, BONITA SPRINGS, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851345771 | 2006-05-22 | 2021-12-08 | 9240 BONITA BEACH RD SE STE 2206, BONITA SPRINGS, FL, 341354251, US | 9240 BONITA BEACH RD SE STE 2206, BONITA SPRINGS, FL, 341354251, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-821-8486 |
| Fax | 2392541576 |
| Fax | 2397667528 |
Authorized person
| Name | SUSAN A PETERS |
| Role | OWNER |
| Phone | 2392541648 |
Taxonomy
| Taxonomy Code | 1744P3200X - Prosthetics Case Management |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 7639438 |
| State | FL |
| Issuer | NPI |
| Number | 1851345771 |
| State | FL |
| Issuer | BCBSFL |
| Number | M2606 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETERS SUSAN A | Agent | 9240 Bonita Beach Road SE, Bonita Springs, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| PETERS SUSAN A | Secretary | 9240 Bonita Beach Road SE, Bonita Springs, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| PETERS SUSAN A | Treasurer | 9240 Bonita Beach Road SE, Bonita Springs, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| TRAINER DAVID | Vice President | 9240 Bonita Beach Road, Bonita Springs, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| PETERS SUSAN A | President | 9240 Bonita Beach Rd, Bonita Springs, FL, 34135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000024609 | CENTER FOR CUSTOM PROSTHETICS | ACTIVE | 2020-02-25 | 2025-12-31 | No data | 9240 BONITA BEACH RD SE, SUITE 2206 2206, BONITA SPINGS, FL, 34135 |
| G09000125419 | CENTER FOR CUSTOM PROSTHETICS | EXPIRED | 2009-06-22 | 2014-12-31 | No data | 5633 STRAND BLVD, SUITE 301, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-16 | 9240 Bonita Beach Road SE, SUITE 2206, Bonita Springs, FL 34135 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-16 | PETERS, SUSAN A. | No data |
| AMENDMENT | 2018-01-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-14 | 9240 BONITA BEACH RD SE, SUITE 2206, BONITA SPRINGS, FL 34135 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-14 | 9240 BONITA BEACH RD SE, SUITE 2206, BONITA SPRINGS, FL 34135 | No data |
| CANCEL ADM DISS/REV | 2003-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-23 |
| Amendment | 2018-01-16 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
