| Entity Name: | FLORIDA MOBILE REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA MOBILE REHAB 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: | 25 Sep 2013 (12 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 07 Sep 2016 (9 years ago) |
| Document Number: | L13000135737 |
| FEI/EIN Number |
46-3749661
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 260 1st Ave South, Suite 200, ST PETESBURG, FL, 33701, US |
| Mail Address: | 260 1st Ave South, Suite 200, ST PETESBURG, FL, 33701, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306274857 | 2013-10-19 | 2022-01-12 | 260 1ST AVE S, SUITE 200; BOX 161, ST PETERSBURG, FL, 337014361, US | 5101 BRITTANY DR S STE 16, SAINT PETERSBURG, FL, 337151565, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 727-623-9519 |
| Fax | 7275026027 |
Authorized person
| Name | DR. BRADLEY ANDREWS |
| Role | PHYSICAL THERAPIST |
| Phone | 7273089848 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022559400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUGHES NICK Dr. | Managing Member | 260 1st Ave South, ST PETESBURG, FL, 33701 |
| ANDREWS BRADLEY Dr. | Managing Member | 260 1st Ave South, ST PETESBURG, FL, 33701 |
| Andrews Bradley GDr. | Agent | 260 1st Ave South, ST PETESBURG, FL, 33701 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000172200 | SALUS | ACTIVE | 2021-12-28 | 2026-12-31 | - | 260 1ST AVE S, STE 200-161, SAINT PETERSBURG, FL, 33701 |
| G21000172203 | SALUS PHYSICAL THERAPY | ACTIVE | 2021-12-28 | 2026-12-31 | - | 260 1ST AVE S, STE 200-161, SAINT PETERSBURG, FL, 33701 |
| G14000117594 | SALUS | EXPIRED | 2014-11-21 | 2024-12-31 | - | 260 1ST AVE S, SUITE 200, BOX #161, ST PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-27 | 260 1st Ave South, Suite 200, Box #161, ST PETESBURG, FL 33701 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-09 | 260 1st Ave South, Suite 200, Box #161, ST PETESBURG, FL 33701 | - |
| CHANGE OF MAILING ADDRESS | 2017-01-09 | 260 1st Ave South, Suite 200, Box #161, ST PETESBURG, FL 33701 | - |
| LC DISSOCIATION MEM | 2016-09-07 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-02-05 | Andrews, Bradley G, Dr. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-01-09 |
| CORLCDSMEM | 2016-09-07 |
| ANNUAL REPORT | 2016-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2568157104 | 2020-04-10 | 0455 | PPP | 260 1st Ave S. STE 200, SAINT PETERSBURG, FL, 33701-3304 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
