| Entity Name: | FLORIDA MOVEMENT THERAPY CENTER-GARDENS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jun 2016 (9 years ago) |
| Document Number: | L16000119737 |
| FEI/EIN Number | 81-3102712 |
| Mail Address: | 12040 SOUTH JOG RD,, BOYNTON BEACH, FL, 33437, US |
| Address: | 8645 N. MILITARY TRAIL STE 401, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659825891 | 2016-08-04 | 2016-09-26 | 8645 N MILITARY TRL, SUITE 401, WEST PALM BEACH, FL, 334106294, US | 8645 N MILITARY TRL, SUITE 401, WEST PALM BEACH, FL, 334106294, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 561-510-7136 |
| Fax | 5615107152 |
Authorized person
| Name | JODI A GRAY |
| Role | MEMBER |
| Phone | 5617335083 |
Taxonomy
| Taxonomy Code | 2251N0400X - Neurology Physical Therapist |
| License Number | PT3436 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225XN1300X - Neurorehabilitation Occupational Therapist |
| License Number | OT9734 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| FLMTC HOLDINGS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GRAY EDWARD | Authorized Member | 12040 SOUTH JOG RD, BOYNTON BEACH, FL, 33437 |
| GRAY JODI | Authorized Member | 12040 SOUTH JOG RD, BOYNTON BEACH, FL, 33437 |
| Name | Role |
|---|---|
| FLMTC HOLDINGS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-11 | 8645 N. MILITARY TRAIL STE 401, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-11 | 12040 SOUTH JOG ROAD, Suite #6, BOYNTON BEACH, FL 33437 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-01 | FLMTC Holdings, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-04-03 |
| Florida Limited Liability | 2016-06-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
