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KIMBERLY CARROLL PHYSICAL THERAPY LLC - Florida Company Profile

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Company Details

Entity Name: KIMBERLY CARROLL PHYSICAL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Nov 2015 (10 years ago)
Document Number: L15000194580
FEI/EIN Number 47-5647529
Address: 120 N 2nd St, STE A, FERNANDINA BEACH, FL, 32034, US
Mail Address: 2657 Amelia Road, FERNANDINA BEACH, FL, 32034, US
ZIP code: 32034
City: Fernandina Beach
County: Nassau
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARROLL KIMBERLY M Director 2657 Amelia Road, FERNANDINA BEACH, FL, 32034
CARROLL KIMBERLY M Agent 2657 Amelia Road, FERNANDINA BEACH, FL, 32034

National Provider Identifier

NPI Number:
1548983497
Certification Date:
2022-09-12

Authorized Person:

Name:
KIMBERLY MICHELLE CARROLL
Role:
OWNER/PT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-15 120 N 2nd St, STE A, FERNANDINA BEACH, FL 32034 -
CHANGE OF MAILING ADDRESS 2019-03-31 120 N 2nd St, STE A, FERNANDINA BEACH, FL 32034 -
REGISTERED AGENT ADDRESS CHANGED 2019-03-31 2657 Amelia Road, FERNANDINA BEACH, FL 32034 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-02-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
8628.52
Total Face Value Of Loan:
8628.52
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
6300.00
Total Face Value Of Loan:
6300.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
6300.00
Total Face Value Of Loan:
6300.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$6,300
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$6,300
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$6,337.4
Servicing Lender:
First Port City Bank
Use of Proceeds:
Payroll: $6,300
Jobs Reported:
1
Initial Approval Amount:
$8,628.52
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$8,628.52
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$8,667.11
Servicing Lender:
First Port City Bank
Use of Proceeds:
Payroll: $8,627.52

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Date of last update: 01 Aug 2025

Sources: Florida Department of State