| Entity Name: | PHI-THERAS REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Jun 2016 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000110781 |
| FEI/EIN Number | 81-2859846 |
| Address: | 12450 S TAMIAMI TRAIL, NORTH PORT, FL 34287 |
| Mail Address: | 11067 Sparkleberry Dr, Fort Myers, FL 33913 |
| ZIP code: | 34287 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366994519 | 2016-11-03 | 2016-11-03 | 12450 TAMIAMI TRL S, SUITE E, NORTH PORT, FL, 342871473, US | 12450 TAMIAMI TRL S, SUITE E, NORTH PORT, FL, 342871473, US | |||||||||||||||||||||||||||
|
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| Phone | +1 941-257-4763 |
| Fax | 9412574766 |
Authorized person
| Name | JORDAN SERRANO |
| Role | PRESIDENT |
| Phone | 9412574763 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | PT29353 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | PT29353 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LABRADOR, HOWELL s | Agent | 11067 Sparkleberry Dr, Fort Myers, FL 33913 |
| Name | Role | Address |
|---|---|---|
| HOWELL, LABRADOR | Manager | 11067 SPARKLEBERRY DR., FORT MYERS, FL 33913 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-30 | 12450 S TAMIAMI TRAIL, NORTH PORT, FL 34287 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-30 | LABRADOR, HOWELL s | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 11067 Sparkleberry Dr, Fort Myers, FL 33913 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-02 |
| ANNUAL REPORT | 2017-04-30 |
| Florida Limited Liability | 2016-06-08 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
