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NIKI THERAPY INC

Company Details

Entity Name: NIKI THERAPY INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Apr 2021 (4 years ago)
Document Number: P21000036864
FEI/EIN Number 85-0960942
Address: 1894 S 14th Street, FERNANDINA BEACH, FL, 32034, US
Mail Address: 1894 S 14th Street, FERNANDINA BEACH, FL, 32034, US
ZIP code: 32034
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528731817 2021-08-01 2021-08-01 85074 MAJESTIC WALK BLVD, FERNANDINA BEACH, FL, 320343872, US 1416 PARK AVE STE 201, FERNANDINA BEACH, FL, 320341901, US

Contacts

Phone +1 904-548-6352

Authorized person

Name ELIZABETH ROBERTS
Role CREDENTIALING SPECIALIST
Phone 3212478334

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
BOYCE KAREN L Agent 85074 MAJESTIC WALK BLVD, FERNANDINA BEACH, FL, 32034

President

Name Role Address
BOYCE NICOLE L President 1894 S 14th Street, FERNANDINA BEACH, FL, 32034

Treasurer

Name Role Address
BOYCE KAREN L Treasurer 85074 MAJESTIC WALK BLVD, FERNANDINA BEACH, FL, 32034

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-05-01 1894 S 14th Street, Suite 4B, FERNANDINA BEACH, FL 32034 No data
CHANGE OF MAILING ADDRESS 2022-05-01 1894 S 14th Street, Suite 4B, FERNANDINA BEACH, FL 32034 No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-05-01
Domestic Profit 2021-04-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State