| Entity Name: | PREMIER ATHLETIC REHAB CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PREMIER ATHLETIC REHAB CENTER, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Apr 2012 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Jul 2012 (13 years ago) |
| Document Number: | L12000045665 |
| FEI/EIN Number |
454969686
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2631 SW 27 STREET, MIAMI, FL, 33133, US |
| Mail Address: | 2631 SW 27 STREET, MIAMI, FL, 33133, US |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194082909 | 2012-04-18 | 2013-11-19 | PO BOX 450844, MIAMI, FL, 332450844, US | 3121 PONCE DE LEON BLVD, CORAL GABLES, FL, 331346816, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-396-9002 |
| Fax | 3053903003 |
Authorized person
| Name | ALEJANDRO G GONZALEZ |
| Role | PHYSICAL THERAPIST |
| Phone | 3052827252 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT25977 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | Y07QR |
| State | FL |
| Issuer | CIGNA |
| Number | 2801168 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Gonzalez Alejandro GDr. | Manager | 2631 SW 27 STREET, MIAMI, FL, 33133 |
| GONZALEZ ALEJANDRO | Agent | 2631 SW 27 STREET, MIAMI, FL, 33133 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000063424 | SOUTH FLORIDA RUCK CLUB | ACTIVE | 2022-05-21 | 2027-12-31 | - | 2631 SW 27 STREET, MIAMI, FL, 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-09 | 2631 SW 27 STREET, MIAMI, FL 33133 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-23 | 2631 SW 27 STREET, MIAMI, FL 33133 | - |
| CHANGE OF MAILING ADDRESS | 2023-02-23 | 2631 SW 27 STREET, MIAMI, FL 33133 | - |
| LC AMENDMENT | 2012-07-26 | - | - |
| REGISTERED AGENT NAME CHANGED | 2012-07-26 | GONZALEZ, ALEJANDRO | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9716398401 | 2021-02-17 | 0455 | PPS | 2631 SW 27th St, Miami, FL, 33133-2239 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7014387703 | 2020-05-01 | 0455 | PPP | 2631 sw 27 street, Miami, FL, 33133 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
