| Entity Name: | COMMUNITY CHOICE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Jul 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L10000076220 |
| Address: | 2500 W. LAKE MARY BLVD., STE 108, LAKE MARY, FL 32746 |
| Mail Address: | 2500 W. LAKE MARY BLVD., STE 108, LAKE MARY, FL 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225347628 | 2010-10-02 | 2011-01-27 | 3710 SAN JACINTO CIR, SANFORD, FL, 327716124, US | 2500 W LAKE MARY BLVD, SUITE 108, LAKE MARY, FL, 327463501, US | |||||||||||||||||
|
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| Phone | +1 407-574-3181 |
Authorized person
| Name | EDWIN JUSTE |
| Role | PARTNER |
| Phone | 4075743181 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 22714 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GIL, JOSE M | Agent | 137 ISLAMORADA WAY, SANFORD, FL 32771 |
| Name | Role | Address |
|---|---|---|
| DIAZ, MARJORIE | Manager | 3710 SAN JACINTO CIRCLE, SANFORD, FL 32771 |
| JUSTE, EDWIN J | Manager | 73 GREENTREE DRIVE #404, DOVER, DE 19904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-12-01 | 2500 W. LAKE MARY BLVD., STE 108, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2010-12-01 | 2500 W. LAKE MARY BLVD., STE 108, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ADDRESS CHANGE | 2010-12-01 |
| Florida Limited Liability | 2010-07-20 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
