Entity Name: | ACTION HAND THERAPY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Oct 2003 (21 years ago) |
Date of dissolution: | 23 Sep 2022 (2 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2022 (2 years ago) |
Document Number: | P03000116414 |
FEI/EIN Number | 562406107 |
Address: | 11951 US HWY 1, STE 105, NORTH PALM BEACH, FL, 33408 |
Mail Address: | P.O. BOX 31833, PALM BEACH GARDENS, FL, 33420 |
ZIP code: | 33408 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1881887073 | 2007-08-22 | 2008-10-24 | PO BOX 31833, PALM BEACH GARDENS, FL, 334201833, US | 3401 PGA BLVD, 500B, PALM BEACH GARDENS, FL, 334102823, US | |||||||||||||||||||||||||||||
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Phone | +1 561-366-0065 |
Fax | 5613660078 |
Authorized person
Name | MRS. L SHULTIS KIERNAN |
Role | OWNER PRESIDENT |
Phone | 5613660065 |
Taxonomy
Taxonomy Code | 225X00000X - Occupational Therapist |
License Number | OT674 |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 890472300 |
State | FL |
Issuer | BCBS |
Number | Z1322 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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ACTION HAND THERAPY PROFIT SHARING PLAN | 2021 | 562406107 | 2023-02-09 | ACTION HAND THERAPY, INC. | 2 | |||||||||||||
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ACTION HAND THERAPY PROFIT SHARING PLAN | 2020 | 562406107 | 2021-10-19 | ACTION HAND THERAPY, INC. | 2 | |||||||||||||
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ACTION HAND THERAPY PROFIT SHARING PLAN | 2020 | 562406107 | 2021-10-14 | ACTION HAND THERAPY, INC. | 2 | |||||||||||||
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Name | Role | Address |
---|---|---|
MEROLA JAMES R | Agent | 11380 PROSPERITY FARMS ROAD, PALM BEACH GARDENS, FL, 33410 |
Name | Role | Address |
---|---|---|
KIERNAN LINDA S | Director | 218 Old Meadow Way, Palm Beach Gardens, FL, 33418 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
REINSTATEMENT | 2021-02-26 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2017-02-03 | MEROLA, JAMES R | No data |
REINSTATEMENT | 2017-02-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-08-06 | 11951 US HWY 1, STE 105, NORTH PALM BEACH, FL 33408 | No data |
REINSTATEMENT | 2013-05-14 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
CANCEL ADM DISS/REV | 2008-10-09 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2021-02-26 |
ANNUAL REPORT | 2019-04-24 |
ANNUAL REPORT | 2018-01-05 |
REINSTATEMENT | 2017-02-03 |
ANNUAL REPORT | 2015-01-09 |
ANNUAL REPORT | 2014-03-03 |
REINSTATEMENT | 2013-05-14 |
ANNUAL REPORT | 2010-04-30 |
ANNUAL REPORT | 2009-06-03 |
REINSTATEMENT | 2008-10-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State