| Entity Name: | PRACTITIONERS IN MOTION, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Apr 2015 (10 years ago) |
| Document Number: | L15000069228 |
| FEI/EIN Number | 47-3792140 |
| Address: | 1900 S HARBOR CITY BOULEVARD, SUITE 232, MELBOURNE, FL, 32901, US |
| Mail Address: | 1900 S HARBOR CITY BOULEVARD, SUITE 232, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447637582 | 2015-04-28 | 2015-07-06 | 960 WHISPEROAK DR, MELBOURNE, FL, 329018135, US | 2263 W NEW HAVEN AVE, #350, WEST MELBOURNE, FL, 329043805, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 321-720-5905 |
| Fax | 3212162255 |
| Phone | +1 321-216-2288 |
Authorized person
| Name | CRISTI ZIOLKOWSKI |
| Role | OWNER |
| Phone | 3217205905 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEEBERG CRISTI | Agent | 1900 S HARBOR CITY BOULEVARD, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| Leeberg Cristi | Managing Member | 960 WHISPEROAK DRIVE, MELBOURNE, FL, 32901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000048138 | A KUT ABOVE | ACTIVE | 2022-04-15 | 2027-12-31 | No data | 2263 W NEW HAVEN AVENUE #350, WEST MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-29 | 1900 S HARBOR CITY BOULEVARD, SUITE 232, MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-29 | 1900 S HARBOR CITY BOULEVARD, SUITE 232, MELBOURNE, FL 32901 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-29 | LEEBERG, CRISTI | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-29 | 1900 S HARBOR CITY BOULEVARD, SUITE 232, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-03 |
| AMENDED ANNUAL REPORT | 2022-08-29 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-02-07 |
| AMENDED ANNUAL REPORT | 2017-05-05 |
| ANNUAL REPORT | 2017-01-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
