| Entity Name: | FITNESS QUEST - NORTH PORT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Apr 2006 (19 years ago) |
| Document Number: | L06000038458 |
| FEI/EIN Number | 51-0595721 |
| Address: | 2530 BOBCAT VILLAGE CENTER RD, SUITE C, NORTH PORT, FL 34288 |
| Mail Address: | 3657 CORTEZ RD W, 110, BRADENTON, FL 34210 |
| ZIP code: | 34288 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639257405 | 2006-11-01 | 2024-04-09 | 3657 CORTEZ RD W STE 110, BRADENTON, FL, 342103171, US | 2530 BOBCAT VILLAGE CENTER RD, SUITE C, NORTH PORT, FL, 342888475, US | |||||||||||||||||||||
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| Phone | +1 941-426-7400 |
| Fax | 9414267044 |
Authorized person
| Name | MRS. MACKENZIE M BARTRUFF |
| Role | MANAGING MEMBER |
| Phone | 9414267400 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | AB743 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NIPPERT, JASON | Agent | 3657 CORTEZ RD W, 110, BRADENTON, FL 34210 |
| Name | Role | Address |
|---|---|---|
| NIPPERT, JASON | Managing Member | 3657 CORTEZ RD W, 110 BRADENTON, FL 34210 |
| BARTRUFF, MACKENZIE | Managing Member | 3657 CORTEZ RD W, 110 BRADENTON, FL 34210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 2530 BOBCAT VILLAGE CENTER RD, SUITE C, NORTH PORT, FL 34288 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 3657 CORTEZ RD W, 110, BRADENTON, FL 34210 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | NIPPERT, JASON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-25 | 2530 BOBCAT VILLAGE CENTER RD, SUITE C, NORTH PORT, FL 34288 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-26 |
| 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: 28 Jan 2025
Sources: Florida Department of State
