| Entity Name: | FITNESS QUEST - BRADENTON LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jul 2005 (20 years ago) |
| Document Number: | L05000068006 |
| FEI/EIN Number | 80-0244199 |
| Mail Address: | 3657 CORTEZ RD W, 110, BRADENTON, FL 34210 |
| Address: | 2828 S. McCall Rd, Unit 25 & 26, Englewood, FL 34224 |
| ZIP code: | 34224 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528219631 | 2008-10-07 | 2024-04-09 | 3657 CORTEZ RD W STE 110, BRADENTON, FL, 342103171, US | 2828 S MCCALL RD, UNIT 40, ENGLEWOOD, FL, 342247791, US | |||||||||||||||||||||
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| Phone | +1 941-474-2700 |
| Fax | 9414748081 |
Authorized person
| Name | MRS. MACKENZIE M BARTRUFF |
| Role | COO |
| Phone | 9414742700 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | BN795A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NIPPERT, JASON | Agent | 3657 CORTEZ RD W, 110, BRADENTON, FL 34210 |
| Name | Role | Address |
|---|---|---|
| NIPPERT, JASON | Manager | 3657 CORTEZ RD W, 110 BRADENTON, FL 34210 |
| Name | Role | Address |
|---|---|---|
| BARTRUFF, MACKENZIE | Managing Member | 3657 CORTEZ RD W, 110 BRADENTON, FL 34210 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000014499 | FITNESS QUEST ENGLEWOOD | ACTIVE | 2016-02-09 | 2026-12-31 | No data | 2828 S. MCCALL RD, ENGLEWOOD, FL, 34224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 2828 S. McCall Rd, Unit 25 & 26, Englewood, FL 34224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 3657 CORTEZ RD W, 110, BRADENTON, FL 34210 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-25 | NIPPERT, JASON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-16 | 2828 S. McCall Rd, Unit 25 & 26, Englewood, FL 34224 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
