| Entity Name: | CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Feb 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Jan 2017 (8 years ago) |
| Document Number: | L15000043364 |
| FEI/EIN Number | 473284539 |
| Address: | 805 SE 3RD AVE, SUITE 2, FT LAUDERDALE, FL, 33316, US |
| Mail Address: | 224 SE 9th St, FT LAUDERDALE, FL, 33316, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730562109 | 2015-07-02 | 2022-03-23 | 224 SE 9TH ST, FORT LAUDERDALE, FL, 333161020, US | 805 SE 3RD AVE, SUITE 2, FORT LAUDERDALE, FL, 333161105, US | |||||||||||||||||||||||
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| Phone | +1 954-256-9052 |
| Fax | 9545335275 |
Authorized person
| Name | CARSON KUTUCHIEF |
| Role | MANAGING MEMBER/OWNER |
| Phone | 9542569052 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUTUCHIEF CARSON | Agent | 224 SE 9th St, FT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| KUTUCHIEF CARSON | Manager | 224 SE 9th St, FT LAUDERDALE, FL, 33316 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000078213 | SOUTH FLORIDA PHYSICAL THERAPY AND SPORTS REHAB | ACTIVE | 2016-08-02 | 2026-12-31 | No data | 805 SE 3RD AVE SUITE 2, FORT LAUDERDALE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-22 | 224 SE 9th St, FT LAUDERDALE, FL 33316 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-22 | 805 SE 3RD AVE, SUITE 2, FT LAUDERDALE, FL 33316 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-05 | KUTUCHIEF, CARSON | No data |
| REINSTATEMENT | 2017-01-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-20 | 805 SE 3RD AVE, SUITE 2, FT LAUDERDALE, FL 33316 | No data |
| CONVERSION | 2015-02-24 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P15000007462. CONVERSION NUMBER 500000149735 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-30 |
| REINSTATEMENT | 2017-01-05 |
| Florida Limited Liability | 2015-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
