| Entity Name: | DIVERSIFIED THERAPEUTICS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 May 1997 (28 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Nov 2012 (12 years ago) |
| Document Number: | P97000043577 |
| FEI/EIN Number | 650753263 |
| Address: | 613 SE CENTRAL PARKWAY, STUART, FL, 34994, US |
| Mail Address: | 613 SE CENTRAL PARKWAY, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700027984 | 2009-03-17 | 2009-03-17 | 613 SE CENTRAL PARKWAY, STUART, FL, 34994, US | 613 SE CENTRAL PARKWAY, STUART, FL, 34994, US | |||||||||||||||||||||||||
|
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| Phone | +1 772-221-7638 |
| Fax | 7722217628 |
Authorized person
| Name | MR. CALVIN LEE JACKSON |
| Role | PRESIDENT/LICENSED MASSAGE THERAPIS |
| Phone | 7722217638 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA0018459 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | C8068 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Merritt and Associates, CPA | Agent | 400 Village Square Crossing, PALM BEACH GARDENS,, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| JACKSON CALVIN LEE | President | 2802 SW KASSON COURT, PORT ST. LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| DIMARTINO JACQUELINE L | Vice President | 2802 SW WASSON CT, PORT SAINT LUCIE, FL, 34953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000069809 | BETTER BODY 1 | EXPIRED | 2018-06-20 | 2023-12-31 | No data | 593 SE CENTRAL PARKWAY, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-03-21 | Merritt and Associates, CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 400 Village Square Crossing, Suite 3i, PALM BEACH GARDENS,, FL 33410 | No data |
| REINSTATEMENT | 2012-11-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-15 | 613 SE CENTRAL PARKWAY, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-15 | 613 SE CENTRAL PARKWAY, STUART, FL 34994 | No data |
| NAME CHANGE AMENDMENT | 1997-09-22 | DIVERSIFIED THERAPEUTICS INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
