| Entity Name: | TREASURE COAST PHYSICAL MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Apr 2013 (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: | L13000060355 |
| FEI/EIN Number | 46-2616884 |
| Address: | 529 SE PALM BEACH RD, SUITE 102, STUART, FL, 34994, US |
| Mail Address: | 529 SE PALM BEACH RD, SUITE 102, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205271699 | 2013-04-30 | 2013-06-14 | 529 SE PALM BEACH RD, SUITE 102, STUART, FL, 349942477, US | 529 SE PALM BEACH RD, SUITE 102, STUART, FL, 349942477, US | |||||||||||||||||
|
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| Phone | +1 772-781-4044 |
Authorized person
| Name | REBEKAH LEAH CAMPBELL |
| Role | OWNER |
| Phone | 5618099805 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS 5435 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Campbell Rebekah | Agent | 529 SE PALM BEACH RD, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL REBEKAH | Managing Member | 5791 SW Bald Eagle Dr, Palm City, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-27 | Campbell, Rebekah | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-27 | 529 SE PALM BEACH RD, SUITE 102, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-20 |
| ANNUAL REPORT | 2014-03-27 |
| Florida Limited Liability | 2013-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
