| Entity Name: | IMARI'S THERAPY SERVICES P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Nov 2013 (11 years ago) |
| Document Number: | P13000092137 |
| FEI/EIN Number | 46-4121281 |
| Address: | 7402 N. 56th st, Tampa, FL, 33617, US |
| Mail Address: | 18120 Kara Ct, TAMPA, FL, 33647, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942631775 | 2013-12-04 | 2014-07-21 | 5230 E FOWLER AVE, TEMPLE TERRACE, FL, 336172147, US | 5230 E FOWLER AVE, TEMPLE TERRACE, FL, 336172147, US | |||||||||||||||||||||||
|
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| Phone | +1 813-374-9414 |
Authorized person
| Name | TEQUESTA D THOMAS-ALLEN |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 8132050969 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010239000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Thomas-Allen Tequesta D | Agent | 18120 Kara Ct, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| THOMAS-ALLEN TEQUESTA | Director | 18120 Kara Ct, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| THOMAS-ALLEN TEQUESTA | President | 18120 Kara Ct, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| THOMAS-ALLEN TEQUESTA | Secretary | 18120 Kara Ct, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| THOMAS-ALLEN TEQUESTA | Treasurer | 18120 Kara Ct, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-31 | 7402 N. 56th st, Suite #100p, Tampa, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-31 | 18120 Kara Ct, TAMPA, FL 33647 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 7402 N. 56th st, Suite #100p, Tampa, FL 33617 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-28 | Thomas-Allen, Tequesta D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-07-14 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
