| Entity Name: | LA FORTALEZA PHYSICAL THERAPY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 24 Mar 2022 (3 years ago) |
| Date of dissolution: | 03 Apr 2024 (10 months ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 03 Apr 2024 (10 months ago) |
| Document Number: | F22000001709 |
| FEI/EIN Number | 232792444 |
| Address: | 205 1 ST S UNIT 103, WINTER HAVEN, FL, 33880 |
| Mail Address: | 133 W HUNTING PARK AVE, PHILADELPHIA, PA, 19140, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | PENNSYLVANIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760134126 | 2022-01-26 | 2022-01-26 | 133 W HUNTING PARK AVE, PHILADELPHIA, PA, 191402717, US | 205 1ST ST S STE 103-104, WINTER HAVEN, FL, 338803255, US | |||||||||||||||||||
|
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| Phone | +1 215-455-5370 |
| Phone | +1 863-875-8355 |
Authorized person
| Name | LUIS HINCAPIE |
| Role | DIRECTOR |
| Phone | 2154555370 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Rivera Jose | President | 529 Winter Terrace, Winter Haven, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| RIVERA CARMEN | Chief Executive Officer | 1206 LONDON CT, WARRINGTON, PA, 18976 |
| Name | Role | Address |
|---|---|---|
| HINCAPIE LUIS | Vice President | 7 SHEPARDS WAY, WYNDMOOR, PA, 19038 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-01 | 205 1 ST S UNIT 103, WINTER HAVEN, FL 33880 | No data |
| WITHDRAWAL | 2024-04-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-03 | 205 1 ST S UNIT 103, WINTER HAVEN, FL 33880 | No data |
| REGISTERED AGENT CHANGED | 2024-04-03 | REGISTERED AGENT REVOKED | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-01 | 205 1 ST S UNIT 103, WINTER HAVEN, FL 33880 | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2024-04-03 |
| ANNUAL REPORT | 2023-02-07 |
| Foreign Profit | 2022-03-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
