Entity Name: | ELITE PHYSIO CONCEPTS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 Jan 2016 (9 years ago) |
Document Number: | L16000001391 |
FEI/EIN Number | 81-0942170 |
Address: | 635 CENTURY PT, LAKE MARY, FL, 32746, US |
Mail Address: | 2628 ALCLOBE CIRCLE, OCOEE, FL, 34761, US |
ZIP code: | 32746 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316303134 | 2016-01-08 | 2016-05-10 | 30 SKYLINE DR, LAKE MARY, FL, 327466201, US | 30 SKYLINE DR, LAKE MARY, FL, 327462122, US | |||||||||||||||||||
|
Phone | +1 407-792-0031 |
Fax | 4072414992 |
Authorized person
Name | MICHAEL HENKELMAN |
Role | OWNER/MANAGER |
Phone | 40792496332 |
Taxonomy
Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
License Number | FL0009941 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HENKELMAN MIKE | Agent | 2628 ALCLOBE CIRCLE, OCOEE, FL, 34761 |
Name | Role | Address |
---|---|---|
HENKELMAN MIKE | Manager | 2628 ALCLOBE CIRCLE, OCOEE, FL, 34761 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 635 CENTURY PT, Suite 111, LAKE MARY, FL 32746 | No data |
CHANGE OF MAILING ADDRESS | 2021-04-30 | 635 CENTURY PT, Suite 111, LAKE MARY, FL 32746 | No data |
REGISTERED AGENT NAME CHANGED | 2021-04-30 | HENKELMAN, MIKE | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-27 |
ANNUAL REPORT | 2023-01-23 |
ANNUAL REPORT | 2022-05-21 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-01-14 |
ANNUAL REPORT | 2019-02-12 |
ANNUAL REPORT | 2018-01-23 |
ANNUAL REPORT | 2017-01-12 |
Florida Limited Liability | 2016-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State