| Entity Name: | BACK IN ACTION, SAINT LUCIE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BACK IN ACTION, SAINT LUCIE PHYSICAL THERAPY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Jun 2008 (17 years ago) |
| Date of dissolution: | 02 Dec 2009 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Dec 2009 (15 years ago) |
| Document Number: | L08000063182 |
| FEI/EIN Number |
262893757
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 266 NW PEACOCK BOULEVARD, SUITE 2-204, PORT ST LUCIE, FL, 34986, US |
| Mail Address: | PO BOX 7666, PORT ST LUCIE, FL, 34984, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407005812 | 2008-09-10 | 2009-04-24 | PO BOX 7666, PORT SAINT LUCIE, FL, 349857666, US | 266 NW PEACOCK BLVD, BUILDING 2 SUITE 2-204, PORT SAINT LUCIE, FL, 349862271, US | |||||||||||||||||||||||||
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| Phone | +1 772-408-6630 |
| Fax | 7724086750 |
Authorized person
| Name | MR. MARK SAPIO DOCUMENTO |
| Role | OWNER |
| Phone | 7724086630 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT20821 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROVIDER TRANSACTION ACCESS NUMBER |
| Number | BK845 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOCUMENTO MARK | Managing Member | 443 SE NOME DR., PORT ST LUCIE, FL, 34984 |
| BEURY KRISTEN | Agent | 624 SOUTH PALM AVENUE, SARASOTA, FL, 34236 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08217700162 | BACK IN ACTION | EXPIRED | 2008-08-04 | 2013-12-31 | - | PO BOX 7666, PORT SAINT LUCIE, FL, 34985 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-12-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-30 | 266 NW PEACOCK BOULEVARD, SUITE 2-204, PORT ST LUCIE, FL 34986 | - |
| REGISTERED AGENT NAME CHANGED | 2009-04-30 | BEURY, KRISTEN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-30 | 624 SOUTH PALM AVENUE, SARASOTA, FL 34236 | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-12-02 |
| ANNUAL REPORT | 2009-04-30 |
| Florida Limited Liability | 2008-06-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
