Entity Name: | PHYSIOWORKS OF MIAMI, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 30 Oct 2012 (12 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | L12000138012 |
FEI/EIN Number | 461253913 |
Address: | MICHAEL GARRETT, 3617 EAST SANDPIPER DRIVE, BOYNTON BEACH, FL, 33436, US |
Mail Address: | MICHAEL GARRETT, 3617 EAST SANDPIPER DRIVE, BOYNTON BEACH, FL, 33436, US |
ZIP code: | 33436 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861848517 | 2016-05-12 | 2016-05-12 | 3617 E SANDPIPER DR, #5, BOYNTON BEACH, FL, 334362463, US | 3617 E SANDPIPER DR, #5, BOYNTON BEACH, FL, 334362463, US | |||||||||||||||||||
|
Phone | +1 561-853-6615 |
Fax | 3053971752 |
Authorized person
Name | MR. MICHAEL GARRETT |
Role | PHYSICAL THERAPIST |
Phone | 5618536615 |
Taxonomy
Taxonomy Code | 2251S0007X - Sports Physical Therapist |
License Number | PT27801 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LEUCHTMAN GARY B | Agent | 501 COMMENDENCIA STREET, PENSACOLA, FL, 32502 |
Name | Role | Address |
---|---|---|
GARRETT MICHAEL R | President | MICHAEL GARRETT, MIAMI BEACH, FL, 33119 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
CHANGE OF MAILING ADDRESS | 2016-05-12 | MICHAEL GARRETT, 3617 EAST SANDPIPER DRIVE, #5, BOYNTON BEACH, FL 33436 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-05-12 | MICHAEL GARRETT, 3617 EAST SANDPIPER DRIVE, #5, BOYNTON BEACH, FL 33436 | No data |
REGISTERED AGENT NAME CHANGED | 2015-04-10 | LEUCHTMAN, GARY B | No data |
REINSTATEMENT | 2015-04-10 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
REINSTATEMENT | 2013-11-19 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2015-04-10 |
REINSTATEMENT | 2013-11-19 |
Florida Limited Liability | 2012-10-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State