| Entity Name: | CHRISTINA LOVERA, OTR/L, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jul 2007 (18 years ago) |
| Document Number: | P07000081132 |
| FEI/EIN Number | 743223518 |
| Address: | 1278 SW Jasmine Trace, Palm City, FL, 34990, US |
| Mail Address: | 1278 SW Jasmine Trace, Palm City, FL, 33490-2225, US |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942504600 | 2011-01-10 | 2011-01-10 | 1546 CORBISON POINT PL, JUPITER, FL, 334585304, US | 11911 US HIGHWAY 1, SUITE 102, NORTH PALM BEACH, FL, 334082827, US | |||||||||||||||||||||||||
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| Phone | +1 561-694-7661 |
| Fax | 5616947691 |
Authorized person
| Name | MS. CHRISTINA MARIE LOVERA |
| Role | OWNER/OCCUPATIONAL THERAPIST |
| Phone | 5616947661 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT12060 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 891064200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOVERA CHRISTINA M | Agent | 1278 SW Jasmine Trace, Palm City, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| CHRISTINA LOVERA | Manager | 1278 SW Jasmine Trace, Palm City, FL, 34990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000051548 | PALM PEDIATRIC THERAPY | EXPIRED | 2018-04-24 | 2023-12-31 | No data | 1278 SW JASMINE TRACE, PALM CITY, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-13 | 1278 SW Jasmine Trace, Palm City, FL 34990 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-20 | 1278 SW Jasmine Trace, Palm City, FL 34990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-20 | 1278 SW Jasmine Trace, Palm City, FL 34990 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-23 | LOVERA, CHRISTINA M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-05-28 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
