| Entity Name: | EPD OCCUPATIONAL THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jul 2010 (15 years ago) |
| Date of dissolution: | 17 Sep 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Sep 2019 (5 years ago) |
| Document Number: | P10000056398 |
| FEI/EIN Number | 273200039 |
| Mail Address: | 511 SE 5TH AVE, FT LAUDERDALE, FL, 33301, US |
| Address: | 1425A E Commercial BLVD, Oakland Park, FL, 33334, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1043650351 | 2013-07-01 | 2016-11-14 | 1425A E COMMERCIAL BLVD, OAKLAND PARK, FL, 333345715, US | 1425A E COMMERCIAL BLVD, OAKLAND PARK, FL, 333345715, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-281-5606 |
| Fax | 9542815626 |
Authorized person
| Name | MRS. EVA MARIA PACCHETTI-D'AMARO |
| Role | PRESIDENT |
| Phone | 6318893235 |
Taxonomy
| Taxonomy Code | 222Q00000X - Developmental Therapist |
| License Number | OT13105 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT13105 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225XN1300X - Neurorehabilitation Occupational Therapist |
| License Number | OT13105 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225XP0019X - Physical Rehabilitation Occupational Therapist |
| License Number | OT13105 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT13105 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA13832 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | CAQH |
| Number | 12311298 |
| State | FL |
| Issuer | MEDICAID |
| Number | 892795200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PACCHETTI-D'AMARO EVA M | Agent | 511 SE 5TH AVE, FT LAUDERDALE, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| PACCHETTI-D'AMARO EVA M | President | 511 SE 5TH AVE, FT LAUDERDALE, FL, 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-28 | 1425A E Commercial BLVD, Oakland Park, FL 33334 | No data |
| CHANGE OF MAILING ADDRESS | 2014-06-10 | 1425A E Commercial BLVD, Oakland Park, FL 33334 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-10 | 511 SE 5TH AVE, 2121, FT LAUDERDALE, FL 33301 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-17 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-18 |
| ANNUAL REPORT | 2014-06-10 |
| ANNUAL REPORT | 2013-02-15 |
| ANNUAL REPORT | 2012-04-17 |
| ANNUAL REPORT | 2011-03-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
