| Entity Name: | FIRST SOUTHWEST MEDICAL REHAB LLC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Oct 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L11000118150 |
| FEI/EIN Number | 45-3604901 |
| Address: | 3900 BROADWAY AVE, SUITE D10, FT MYERS, FL 33901 |
| Mail Address: | 3900 BROADWAY AVE, SUITE D10, FT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710257001 | 2012-01-04 | 2012-01-04 | PO BOX 61766, FORT MYERS, FL, 339061766, US | 3900 BROADWAY, SUITE D10, FORT MYERS, FL, 339018193, US | |||||||||||||||||||
|
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| Phone | +1 239-243-8925 |
| Fax | 2392458954 |
Authorized person
| Name | DR. DAVID H IVEY |
| Role | OWNER |
| Phone | 2392438925 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9765 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IVEY, DAVID H | Agent | 1875C SOUTH PATRICK DRIVE, INDIAN HARBOUR BEACH, FL 32937 |
| Name | Role | Address |
|---|---|---|
| IVEY, DAVID H | Manager | 1875C SOUTH PATRICK DRIVE, INDIAN HARBOUR BEACH, FL 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-01 | 1875C SOUTH PATRICK DRIVE, INDIAN HARBOUR BEACH, FL 32937 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-05-01 |
| Florida Limited Liability | 2011-10-17 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
