| Entity Name: | CHILDREN'S THERAPY CENTER & MORE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Oct 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Jan 2023 (2 years ago) |
| Document Number: | P00000093182 |
| FEI/EIN Number | 651045017 |
| Address: | 4474 WESTON ROAD,, MB# 214, DAVIE, FL, 33331-3195, US |
| Mail Address: | 4474 WESTON ROAD,, MB# 214, DAVIE, FL, 33331-3195, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700193679 | 2010-09-13 | 2014-04-08 | 4474 WESTON RD, MB 214, DAVIE, FL, 333313195, US | 2751 EXECUTIVE PARK DR, SUITE 203, WESTON, FL, 333313660, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-385-8560 |
| Fax | 9543859505 |
Authorized person
| Name | MISS EDITH LISBETH JACIR |
| Role | DIRECTOR |
| Phone | 9543858560 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT6348 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| License Number | SI2159 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| License Number | SI2315 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| License Number | SI1600 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA9928 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA5276 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SZ6478 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA11679 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA10914 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001160101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JACIR EDITH L | Agent | 1046 Waterside Circle, WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| JACIR EDITH L | President | 1046 WATERSIDE CIRCLE, WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| JACIR EDITH L | Director | 1046 WATERSIDE CIRCLE, WESTON, FL, 33327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-29 | 1046 Waterside Circle, WESTON, FL 33327 | No data |
| REINSTATEMENT | 2018-03-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-29 | JACIR, EDITH L | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-02 | 4474 WESTON ROAD,, MB# 214, DAVIE, FL 33331-3195 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-02 | 4474 WESTON ROAD,, MB# 214, DAVIE, FL 33331-3195 | No data |
| REINSTATEMENT | 2012-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000755904 | ACTIVE | 1000000727347 | BROWARD | 2016-11-18 | 2026-11-23 | $ 2,026.73 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13001071555 | TERMINATED | 1000000512108 | BROWARD | 2013-05-30 | 2023-06-07 | $ 352.62 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000113739 | TERMINATED | 1000000383122 | BROWARD | 2013-01-11 | 2023-01-16 | $ 470.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| REINSTATEMENT | 2023-01-10 |
| ANNUAL REPORT | 2021-09-16 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-05-09 |
| REINSTATEMENT | 2018-03-29 |
| ANNUAL REPORT | 2016-05-12 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-05-21 |
| ANNUAL REPORT | 2013-05-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
