| Entity Name: | PEDS ORTHO PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 May 2007 (18 years ago) |
| Date of dissolution: | 26 Mar 2018 (7 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Mar 2018 (7 years ago) |
| Document Number: | L07000046015 |
| FEI/EIN Number | 208980515 |
| Address: | 15821 HOLLYFERN CT, FORT MYERS, FL, 33908, US |
| Mail Address: | 15880 SUMMERLIN ROAD, #300, PMB #322, FORT MYERS, FL, 33908, US |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831350362 | 2008-06-18 | 2008-06-18 | 15880 SUMMERLIN RD, STE 300 PMB 322, FORT MYERS, FL, 339089612, US | 15821 HOLLYFERN CT, FORT MYERS, FL, 339083732, US | |||||||||||||||
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| Phone | +1 239-432-5100 |
| Fax | 2394325135 |
Authorized person
| Name | MRS. ANNETTE L HASSEN |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 2394325100 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KNOTT GEORGE H | Agent | 1625 HENDRY STREET, SUITE 301, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| CHURCHILL JOHN M | Managing Member | 15880 SUMMERLIN RD. #300, PMB#322, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2018-03-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-25 | 15821 HOLLYFERN CT, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2018-03-26 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-07 |
| ANNUAL REPORT | 2015-02-04 |
| ANNUAL REPORT | 2014-03-13 |
| ANNUAL REPORT | 2013-03-19 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-01-19 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
