| Entity Name: | POLK THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Dec 2004 (20 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Nov 2015 (9 years ago) |
| Document Number: | L04000094338 |
| FEI/EIN Number | 020749435 |
| Address: | 295 1ST STREET, SOUTH, SUITE 2, WINTER HAVEN, FL, 33880, US |
| Mail Address: | 295 1ST STREET, SOUTH, SUITE 2, WINTER HAVEN, FL, 33880, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043233778 | 2006-07-25 | 2023-04-27 | 295 1ST ST S, SUITE 2, WINTER HAVEN, FL, 338803272, US | 295 1ST ST S, SUITE 2, WINTER HAVEN, FL, 338803272, US | |||||||||||||||||||
|
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| Phone | +1 863-291-8644 |
| Fax | 8632933221 |
Authorized person
| Name | MRS. SHARON TRUDEAU |
| Role | ADMINISTRATOR |
| Phone | 8632918644 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | 68-4852 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TODD RICHARD DP.T. | Agent | 295 1ST STREET, SOUTH, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| TODD RICHARD DP.T. | Chief Executive Officer | 295 1ST STREET, SOUTH, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2015-11-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-31 | TODD, RICHARD D., P.T. | No data |
| CHANGE OF MAILING ADDRESS | 2011-08-08 | 295 1ST STREET, SOUTH, SUITE 2, WINTER HAVEN, FL 33880 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-08-08 | 295 1ST STREET, SOUTH, SUITE 2, WINTER HAVEN, FL 33880 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-08 | 295 1ST STREET, SOUTH, SUITE 2, WINTER HAVEN, FL 33880 | No data |
| REINSTATEMENT | 2010-12-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2006-01-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-06-08 |
| AMENDED ANNUAL REPORT | 2019-06-25 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
