| Entity Name: | KIDS ON THE MOVE - ROBIN ANDERSEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Mar 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P03000026565 |
| FEI/EIN Number | 134241934 |
| Address: | 1203 NW 16TH AVE., GAINESVILLE, FL, 32601 |
| Mail Address: | 1203 NW 16TH AVE., GAINESVILLE, FL, 32601 |
| ZIP code: | 32601 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659468684 | 2006-10-10 | 2014-10-07 | 1203 NW 16TH AVE, GAINESVILLE, FL, 32601, US | 1203 NW 16TH AVE, GAINESVILLE, FL, 32601, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-373-7337 |
| Fax | 3523773622 |
Authorized person
| Name | MRS. ROBIN P ANDERSEN |
| Role | OWNER PT |
| Phone | 3523737337 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 1703 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 880018900 |
| State | FL |
| Issuer | BCBS |
| Number | Y2162 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ANDERSEN ROBIN P | Agent | 1203 NW 16TH AVE., GAINESVILLE, FL, 32601 |
| Name | Role | Address |
|---|---|---|
| ANDERSEN ROBIN P | Director | 1203 NW 16TH AVE., GAINESVILLE, FL, 32601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-02-09 |
| ANNUAL REPORT | 2011-03-17 |
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
