Entity Name: | EZ-INSPIRATIONS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Apr 1997 (28 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 12 Nov 2019 (5 years ago) |
Document Number: | P97000032396 |
FEI/EIN Number | 650743705 |
Address: | 10547 SW SUNRAY STREET, port st lucie, FL, 34987, US |
Mail Address: | 10547 SW SUNRAY STREET, port st lucie, FL, 34987, US |
ZIP code: | 34987 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437564184 | 2014-06-20 | 2023-03-01 | 10547 SW SUNRAY ST, PORT ST LUCIE, FL, 349877721, US | 10547 SW SUNRAY ST, PORT ST LUCIE, FL, 349877721, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 727-394-4662 |
Fax | 7276741816 |
Authorized person
Name | LISA PEZZULLO |
Role | PRES |
Phone | 7273944662 |
Taxonomy
Taxonomy Code | 2278H0200X - Home Health Certified Respiratory Therapist |
License Number | TT8731 |
State | FL |
Is Primary | No |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 104140800 |
State | FL |
Issuer | MEDICAID |
Number | 012962100 |
State | FL |
Name | Role | Address |
---|---|---|
KENDROT KIM | Agent | 1300 N Federal Highway, BOCA RATON, FL, 33432 |
Name | Role | Address |
---|---|---|
Labrecque Carol | President | 10547 SW SUNRAY STREET, Port Saint Lucie, FL, 34987 |
Name | Role | Address |
---|---|---|
Pezzullo Lisa | Vice President | 13718 SW GINGERLINE DR, PORT ST LUCIE, FL, 34987 |
PEZZULLO LISA | Vice President | 13718 SW GINGERLINE DR, PORT ST LUCIE, FL, 34987 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G09000164176 | BILLING BENEFITS | EXPIRED | 2009-10-12 | 2024-12-31 | No data | 4736 LAGO VISTA DR, COCONUT CREEK, FL, 33073 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-03-17 | 10547 SW SUNRAY STREET, port st lucie, FL 34987 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-03-17 | 10547 SW SUNRAY STREET, port st lucie, FL 34987 | No data |
AMENDMENT | 2019-11-12 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-02-13 | 1300 N Federal Highway, Suite 101, BOCA RATON, FL 33432 | No data |
NAME CHANGE AMENDMENT | 2014-04-09 | EZ-INSPIRATIONS, INC. | No data |
REGISTERED AGENT NAME CHANGED | 2011-02-08 | KENDROT, KIM | No data |
AMENDMENT | 2011-02-08 | No data | No data |
AMENDMENT | 2005-07-07 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-06 |
ANNUAL REPORT | 2023-03-01 |
ANNUAL REPORT | 2022-03-11 |
ANNUAL REPORT | 2021-03-18 |
ANNUAL REPORT | 2020-04-07 |
Amendment | 2019-11-12 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-02-13 |
ANNUAL REPORT | 2017-01-26 |
AMENDED ANNUAL REPORT | 2016-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State