| Entity Name: | JOEL MONTGOMERY THERAPIST PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Nov 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Feb 2022 (3 years ago) |
| Document Number: | P17000095343 |
| FEI/EIN Number | 82-3556794 |
| Address: | 72 NE 25 STREET, WILTON MANORS, FL, 33305 |
| Mail Address: | 72 NE 25 STREET, WILTON MANORS, FL, 33305 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013415231 | 2018-01-23 | 2018-01-23 | 72 NE 25TH ST, WILTON MANORS, FL, 333051026, US | 2312 WILTON DR, WILTON MANORS, FL, 333051249, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-630-2336 |
Authorized person
| Name | JOEL MONTGOMERY |
| Role | PRESIDENT |
| Phone | 9546302336 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW14839 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEUSCHEL HERBERT | Agent | 9710 STIRLING ROAD, COOPER CITY, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| MONTGOMERY JOEL | President | 72 NE 25 STREET, WILTON MANORS, FL, 33305 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-02-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-10 | DEUSCHEL, HERBERT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-10 | 9710 STIRLING ROAD, SUITE 107, COOPER CITY, FL 33024 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-27 |
| REINSTATEMENT | 2022-02-10 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-04-28 |
| Domestic Profit | 2017-11-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
