| Entity Name: | MUSCLE INJECTION THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Apr 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L15000070784 |
| FEI/EIN Number | 47-3814642 |
| Address: | 2311 SOUTH INDIAN RIVER DRIVE, FORT PIERCE, FL, 34950, US |
| Mail Address: | 2311 SOUTH INDIAN RIVER DRIVE, FORT PIERCE, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588042568 | 2015-05-11 | 2015-10-19 | P O BOX 8902, SUITE C, PORT ST LUCIE, FL, 34985, US | 10692 S US HIGHWAY 1, SUITE C, PORT ST LUCIE, FL, 349526408, US | |||||||||||||||||||||||||||||||
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| Phone | +1 772-249-9450 |
Authorized person
| Name | ROBERT PENDLETON |
| Role | MANAGER |
| Phone | 7722499450 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1293 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | AP1293 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ACUPUNCTURE |
| Number | AP1293 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| IRENE FONZI PA | Agent | 1402 HIGHWAY A1A, SATELLITE BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| PENDLETON ROBERT | Manager | 2311 SOUTH INDIAN RIVER DRIVE, FORT PIERCE, FL, 34982 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-29 | IRENE FONZI PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-29 | 1402 HIGHWAY A1A, A, SATELLITE BEACH, FL 32937 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-12-11 | 2311 SOUTH INDIAN RIVER DRIVE, FORT PIERCE, FL 34950 | No data |
| CHANGE OF MAILING ADDRESS | 2015-12-11 | 2311 SOUTH INDIAN RIVER DRIVE, FORT PIERCE, FL 34950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-29 |
| Florida Limited Liability | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
