| Entity Name: | 1ST CLASS PHYSICAL MEDICINE AND REHABILITATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
1ST CLASS PHYSICAL MEDICINE AND REHABILITATION LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Apr 2016 (9 years ago) |
| Date of dissolution: | 27 Mar 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Mar 2018 (7 years ago) |
| Document Number: | L16000076243 |
| FEI/EIN Number |
471316706
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 15475 SE 36TH AVE, SUMMERFIELD, FL, 34491, US |
| Mail Address: | 15475 SE 36TH AVE, SUMMERFIELD, FL, 34491, US |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144637018 | 2014-07-12 | 2017-03-10 | 2141 NE 2ND ST, OCALA, FL, 344706950, US | 2275 SW 22ND LN, OCALA, FL, 344717710, US | |||||||||||||||||||||||||
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| Phone | +1 419-573-2505 |
| Phone | +1 352-387-9889 |
Authorized person
| Name | MELISSA MARIE ALVAREZ PEREZ |
| Role | OWNER |
| Phone | 4195732505 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME124242 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0106786 |
| State | OH |
| Name | Role | Address |
|---|---|---|
| ALVAREZ PEREZ MELISSA MMS | Manager | 14189 NE 252nd Court Road 108, Salt Springs, FL, 32134 |
| ALVAREZ PEREZ MELISSA MMS | Agent | 14189 NE 252nd Court Road 108, Salt Springs, FL, 32134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-23 | 15475 SE 36TH AVE, SUMMERFIELD, FL 34491 | - |
| CHANGE OF MAILING ADDRESS | 2017-08-23 | 15475 SE 36TH AVE, SUMMERFIELD, FL 34491 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-08 | 14189 NE 252nd Court Road 108, Salt Springs, FL 32134 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-27 |
| ANNUAL REPORT | 2017-01-08 |
| Florida Limited Liability | 2016-04-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
