| Entity Name: | RENEW THERAPY CENTER OF PORT ST. LUCIE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Apr 2002 (23 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L02000007984 |
| FEI/EIN Number | 300070117 |
| Address: | 1850 S.E. PORT ST. LUCIE BOULEVARD, FORT PIERCE, FL, 34952 |
| Mail Address: | 1850 S.E. PORT ST. LUCIE BOULEVARD, PORT ST. LUCIE, FL, 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821022815 | 2006-07-10 | 2009-12-02 | 1854 SE PORT ST LUCIE BLVD, FORT PIERCE, FL, 349525545, US | 1854 SE PORT ST LUCIE BLVD, FORT PIERCE, FL, 349525545, US | |||||||||||||||||
|
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| Phone | +1 772-501-8804 |
Authorized person
| Name | MR. LAZARO HERNANDEZ |
| Role | OWNER |
| Phone | 7725018804 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | HCC3926 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ RODRIGUEZ LAZARO I | Agent | 1850 S.E. PORT ST. LUCIE BOULEVARD, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ RODRIGUEZ LAZARO I | Managing Member | 1850 S.E. PORT ST. LUCIE BOULEVARD, PORT ST. LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-09-09 | 1850 S.E. PORT ST. LUCIE BOULEVARD, FORT PIERCE, FL 34952 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-09-09 | HERNANDEZ RODRIGUEZ, LAZARO IMR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-09-09 | 1850 S.E. PORT ST. LUCIE BOULEVARD, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-09-26 | 1850 S.E. PORT ST. LUCIE BOULEVARD, FORT PIERCE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-09-11 |
| ANNUAL REPORT | 2009-09-09 |
| ANNUAL REPORT | 2009-06-15 |
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-01-28 |
| ANNUAL REPORT | 2007-09-26 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-02-06 |
| ANNUAL REPORT | 2005-03-10 |
| ANNUAL REPORT | 2004-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
