| Entity Name: | J.W. ADAPTIVE TECHNOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Mar 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P08000025350 |
| FEI/EIN Number | 262154802 |
| Address: | 13442 Columbine Ave., WELLINGTON, FL, 33414, US |
| Mail Address: | 13442 COLUMBINE AVE, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679877591 | 2011-01-06 | 2011-01-06 | 13442 COLUMBINE AVE, WELLINGTON, FL, 334148144, US | 3066 JOG RD, GREENACRES, FL, 334672053, US | |||||||||||||||||||||||||
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| Phone | +1 561-214-3518 |
| Fax | 7865132873 |
Authorized person
| Name | MRS. JULIE ANN WELLS |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 5612143518 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT9728 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 886422500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WELLS JULIE | Agent | 13442 Columbine Ave., WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| WELLS JULIE | President | 13442 COLUMBINE AVE., WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| Wells John L | Chief Operating Officer | 13442 Columbine Ave., WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-13 | 13442 Columbine Ave., WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-13 | 13442 Columbine Ave., WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2015-05-19 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-02-11 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-08 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-06-19 |
| Domestic Profit | 2008-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
