Entity Name: | CENTRAL FLORIDA THERAPY SOLUTIONS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 16 Nov 2000 (24 years ago) |
Document Number: | P00000108108 |
FEI/EIN Number | 593676538 |
Address: | 455 West Warren Ave, LONGWOOD, FL, 32750, US |
Mail Address: | 455 West Warren Ave, LONGWOOD, FL, 32750, US |
ZIP code: | 32750 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609810456 | 2006-06-15 | 2014-02-19 | 455 W WARREN AVE, SUITE 200, LONGWOOD, FL, 327504002, US | 455 W WARREN AVE, SUITE 200, LONGWOOD, FL, 327504002, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-260-0551 |
Fax | 4072659590 |
Authorized person
Name | MRS. NANCY CLAUDIA JOHNSTON |
Role | OWNER |
Phone | 4072600551 |
Taxonomy
Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
License Number | PT 3886 |
State | FL |
Is Primary | No |
Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
License Number | OT 11334 |
State | FL |
Is Primary | No |
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
License Number | SA5296 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | WELL CARE |
Number | 28832 |
State | FL |
Issuer | BCBS |
Number | X1601 |
State | FL |
Issuer | BCBS |
Number | Y921D |
State | FL |
Issuer | AMERIGROUP |
Number | 217278 |
State | FL |
Issuer | MEDICAID |
Number | 886431400 |
State | FL |
Name | Role | Address |
---|---|---|
JOHNSTON NANCY CLAUDIA | Agent | 455 West Warren Ave, LONGWOOD, FL, 32750 |
Name | Role | Address |
---|---|---|
JOHNSTON NANCY CLAUDIA | President | 827 RIVERBEND BLVD, LONGWOOD, FL, 32779 |
Name | Role | Address |
---|---|---|
Johnston Jeremy D | Vice President | 455 West Warren Ave, LONGWOOD, FL, 32750 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2013-05-28 | 455 West Warren Ave, Ste 200, LONGWOOD, FL 32750 | No data |
CHANGE OF MAILING ADDRESS | 2013-05-28 | 455 West Warren Ave, Ste 200, LONGWOOD, FL 32750 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-05-28 | 455 West Warren Ave, Ste 200, LONGWOOD, FL 32750 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-21 |
ANNUAL REPORT | 2024-01-08 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-02-02 |
ANNUAL REPORT | 2020-01-22 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-01-18 |
ANNUAL REPORT | 2017-02-09 |
ANNUAL REPORT | 2016-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State