Entity Name: | SAYLOR PHYSICAL THERAPY OF PALM BEACH GARDENS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 06 Nov 2012 (12 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 21 Oct 2013 (11 years ago) |
Document Number: | L12000140649 |
FEI/EIN Number | 46-1331411 |
Address: | 300 avenue of the champions, suite 100, PALM BEACH GARDENS, FL, 33418, US |
Mail Address: | 300 avenue of the champions, suite 100, PALM BEACH GARDENS, FL, 33418, US |
ZIP code: | 33418 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649524018 | 2012-11-06 | 2023-08-28 | 8845 N MILITARY TRL, SUITE 300, WEST PALM BEACH, FL, 334106298, US | 300 AVENUE OF CHAMPIONS STE 100, WEST PALM BEACH, FL, 334183615, US | |||||||||||||||||||
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Phone | +1 561-223-3872 |
Fax | 5612233895 |
Authorized person
Name | JACLYN FISHER |
Role | CREDENTIALING |
Phone | 7048325383 |
Taxonomy
Taxonomy Code | 302R00000X - Health Maintenance Organization |
License Number | L12000140649 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SAYLOR JAMES | Agent | 190 poplar grove drive, mooresville, FL, 28117 |
Name | Role | Address |
---|---|---|
SAYLOR JAMES | Managing Member | 190 poplar grove drive, mooresville, NC, 28117 |
FOSSETT LISA A | Managing Member | 190 poplar grove drive, mooresville, NC, 28117 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2020-03-03 | 190 poplar grove drive, mooresville, FL 28117 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-03-05 | 300 avenue of the champions, suite 100, PALM BEACH GARDENS, FL 33418 | No data |
CHANGE OF MAILING ADDRESS | 2018-03-05 | 300 avenue of the champions, suite 100, PALM BEACH GARDENS, FL 33418 | No data |
LC AMENDMENT | 2013-10-21 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-30 |
ANNUAL REPORT | 2023-01-03 |
ANNUAL REPORT | 2022-01-23 |
ANNUAL REPORT | 2021-01-06 |
ANNUAL REPORT | 2020-03-03 |
ANNUAL REPORT | 2019-02-22 |
ANNUAL REPORT | 2018-03-05 |
ANNUAL REPORT | 2017-02-23 |
ANNUAL REPORT | 2016-02-09 |
ANNUAL REPORT | 2015-02-22 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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4487718306 | 2021-01-23 | 0455 | PPS | 300 Avenue of Champions Ste 100, Palm Beach Gardens, FL, 33418-3615 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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7854847103 | 2020-04-14 | 0455 | PPP | 300 AVENUE OF CHAMPIONS STE 100, PALM BEACH GARDENS, FL, 33418-3615 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State