| Entity Name: | OTTER THERAPY SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Mar 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Sep 2005 (19 years ago) |
| Document Number: | P04000047260 |
| FEI/EIN Number | 571200901 |
| Address: | 2926 S. MORNINGSIDE COURT, OVIEDO, FL, 32765 |
| Mail Address: | 2926 S. MORNINGSIDE COURT, OVIEDO, FL, 32765 |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659346310 | 2006-02-17 | 2010-08-10 | 2926 S MORNINGSIDE CT, OVIEDO, FL, 327656925, US | 2926 S MORNINGSIDE CT, OVIEDO, FL, 327656925, US | |||||||||||||||||||||||||
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| Phone | +1 407-421-5002 |
| Fax | 4079775089 |
Authorized person
| Name | MRS. KAREN M SMALL |
| Role | PRESIDENT |
| Phone | 4078082142 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 6652 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 889465500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMALL KAREN M | Agent | 2926 S. MORNINGSIDE CT., OVIEDO, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| SMALL KAREN M | President | 2926 S. MORNINGSIDE COURT, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2007-04-23 | SMALL, KAREN MPRESIDE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-23 | 2926 S. MORNINGSIDE CT., OVIEDO, FL 32765 | No data |
| AMENDMENT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-05-09 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
