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THERA-PEDS, INC.

Company Details

Entity Name: THERA-PEDS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 11 Oct 1995 (29 years ago)
Document Number: P95000078012
FEI/EIN Number 65-0625259
Address: 1200 WEST CAMINO REAL, BOCA RATON, FL 33486
Mail Address: 1200 WEST CAMINO REAL, BOCA RATON, FL 33486
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376682252 2007-02-06 2020-08-22 11651 NW 32ND MNR, SUNRISE, FL, 333231313, US 11651 NW 32ND MNR, SUNRISE, FL, 333231313, US

Contacts

Phone +1 954-572-5851
Fax 9545724301

Authorized person

Name MS. LISA CARLYLE
Role PRESIDENT
Phone 9545725851

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No

Agent

Name Role Address
VISENTIN, SHANNON Agent 1200 WEST CAMINO REAL, BOCA RATON, FL 33486

President

Name Role Address
VISENTIN, SHANNON President 1200 WEST CAMINO REAL, BOCA RATON, FL 33486

Secretary

Name Role Address
VISENTIN, SHANNON Secretary 1200 WEST CAMINO REAL, BOCA RATON, FL 33486

Treasurer

Name Role Address
VISENTIN, SHANNON Treasurer 1200 WEST CAMINO REAL, BOCA RATON, FL 33486

Director

Name Role Address
VISENTIN, SHANNON Director 1200 WEST CAMINO REAL, BOCA RATON, FL 33486

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000114855 MAKING CONNECTIONS ACTIVE 2020-09-03 2025-12-31 No data 1200 W CAMINO REAL, BOCA RATON, FL, 33486
G14000047426 MAKING CONNECTIONS EXPIRED 2014-05-13 2019-12-31 No data 1200 WEST CAMINO REAL, BOCA RATON, FL, 33486

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2010-01-22 1200 WEST CAMINO REAL, BOCA RATON, FL 33486 No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-27 1200 WEST CAMINO REAL, BOCA RATON, FL 33486 No data
REGISTERED AGENT ADDRESS CHANGED 2009-01-27 1200 WEST CAMINO REAL, BOCA RATON, FL 33486 No data
REGISTERED AGENT NAME CHANGED 2008-04-16 VISENTIN, SHANNON No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-02
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-07-09
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State