| Entity Name: | SHIVERS ENTERPRISES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jun 1999 (26 years ago) |
| Document Number: | P99000049972 |
| FEI/EIN Number | 593578273 |
| Address: | 3550 DEER RUN S, PALM HARBOR, FL, 34684, US |
| Mail Address: | 3550 DEER RUN S, PALM HARBOR, FL, 34684, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760978415 | 2018-07-05 | 2018-07-05 | 3550 DEER RUN S, PALM HARBOR, FL, 346843551, US | 3550 DEER RUN S, PALM HARBOR, FL, 346843551, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-480-2809 |
| Fax | 7273337667 |
Authorized person
| Name | KAREN SHIVERS |
| Role | PRESIDENT |
| Phone | 7274802809 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT7695 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 678945596 |
| State | FL |
| Issuer | MEDICAID |
| Number | 881624700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 812403500 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| SHIVERS KAREN L | President | 3550 DEER RUN S, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| SHIVERS KAREN L | Secretary | 3550 DEER RUN S, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| SHIVERS KAREN L | Treasurer | 3550 DEER RUN S, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| SHIVERS KAREN L | Director | 3550 DEER RUN S, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-20 | 3550 DEER RUN S, PALM HARBOR, FL 34684 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-20 | 3550 DEER RUN S, PALM HARBOR, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-21 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
