| Entity Name: | KIMBERLY CARROLL PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Nov 2015 (9 years ago) |
| Document Number: | L15000194580 |
| FEI/EIN Number | 47-5647529 |
| Address: | 120 N 2nd St, STE A, FERNANDINA BEACH, FL 32034 |
| Mail Address: | 2657 Amelia Road, FERNANDINA BEACH, FL 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548983497 | 2022-09-26 | 2022-09-26 | 2657 AMELIA RD, FERNANDINA BEACH, FL, 320349112, US | 120 N 2ND ST, FERNANDINA BEACH, FL, 320344191, US | |||||||||||||||
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| Phone | +1 904-583-2936 |
| Phone | +1 904-761-8397 |
Authorized person
| Name | KIMBERLY MICHELLE CARROLL |
| Role | OWNER/PT |
| Phone | 9045832936 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARROLL, KIMBERLY M | Agent | 2657 Amelia Road, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| CARROLL, KIMBERLY M | Director | 2657 Amelia Road, FERNANDINA BEACH, FL 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-15 | 120 N 2nd St, STE A, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-31 | 120 N 2nd St, STE A, FERNANDINA BEACH, FL 32034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-31 | 2657 Amelia Road, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-02-23 |
| Florida Limited Liability | 2015-11-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2500788410 | 2021-02-03 | 0491 | PPS | 961687 Gateway Blvd Ste 101A, Fernandina Beach, FL, 32034-9158 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1461227205 | 2020-04-15 | 0491 | PPP | 961687 GATEWAY BLVD SUITE 101A, FERNANDINA BEACH, FL, 32034-9158 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
