| Entity Name: | ISENBERG PEDIATRIC OCCUPATIONAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ISENBERG PEDIATRIC OCCUPATIONAL THERAPY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 12 Jun 1995 (30 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | P95000046554 |
| FEI/EIN Number |
593318028
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5441 NEHI RD., PANAMA CITY, FL, 32404 |
| Mail Address: | 735 Beatys Chapel Rd.., Tellico Plains, TN, 37385, US |
| ZIP code: | 32404 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023266491 | 2008-08-28 | 2008-08-28 | PO BOX 568, LYNN HAVEN, FL, 324440568, US | 2685 JENKS AVE, PANAMA CITY, FL, 324054351, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-258-6366 |
| Fax | 8505228022 |
Authorized person
| Name | MRS. SHELLEY ISENBERG HICKMAN |
| Role | OWNER |
| Phone | 8502586366 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT2238 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 886362800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 810737800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 881001000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISENBERG SHELLEY A | Director | 5441 NEHI RD., PANAMA CITY, FL, 32404 |
| ISENBERG SHELLEY A | Agent | 5441 NEHI RD., PANAMA CITY, FL, 32404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 5441 NEHI RD., PANAMA CITY, FL 32404 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-17 | 5441 NEHI RD., PANAMA CITY, FL 32404 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-17 | 5441 NEHI RD., PANAMA CITY, FL 32404 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-02-16 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-03 |
| ANNUAL REPORT | 2014-04-06 |
| ANNUAL REPORT | 2013-05-05 |
| ANNUAL REPORT | 2012-09-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6071737409 | 2020-05-13 | 0491 | PPP | 5441 Nehi Rd., Panama City, FL, 32404 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
