| Entity Name: | THERAPYWORKS OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Aug 2002 (22 years ago) |
| Document Number: | P02000094555 |
| FEI/EIN Number | 61-1423813 |
| Address: | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124274881 | 2008-08-13 | 2023-08-28 | 1819 HENDRICKS AVE STE 3, JACKSONVILLE, FL, 322073303, US | 1819 HENDRICKS AVE STE 3, JACKSONVILLE, FL, 322073303, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-348-5511 |
| Fax | 9043486601 |
Authorized person
| Name | KENYETTA FRANCINE MORALES |
| Role | PRESIDENT |
| Phone | 7046044699 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | BK346 |
| Name | Role | Address |
|---|---|---|
| MORALES KENYETTA F | Agent | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| MORALES KENYETTA F | President | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000142352 | HEALING HANDS INNOVATIVE SERVICES | ACTIVE | 2022-11-16 | 2027-12-31 | No data | 1819 HENDRICKS AVE #3, JACKSONVILLE, FL, 32207 |
| G13000110744 | MASSAGE THERAPYWORX | EXPIRED | 2013-11-12 | 2018-12-31 | No data | 1819 HENDRICKS AVENUE, SUITE 2 & 3, JACKSONVILLE, FL, 32207 |
| G13000110743 | THERAPY WORKS | EXPIRED | 2013-11-12 | 2018-12-31 | No data | 1819 HENDRICKS AVENUE, SUITE 2 & 3, JACKSONVILLE, FL, 32207 |
| G10000070247 | THERAPYWORKS | EXPIRED | 2010-07-30 | 2015-12-31 | No data | 1819 HENDRICKS AVENUE, SUITES 2 & 3, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-06-29 | MORALES, KENYETTA F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-29 | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-24 | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 1819 HENDRICKS AVE., STE 3, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| AMENDED ANNUAL REPORT | 2023-06-29 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-04-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2314569003 | 2021-05-15 | 0491 | PPS | 1819 Hendricks Ave Ste 3, Jacksonville, FL, 32207-3303 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
