| Entity Name: | PEADEN PHYSICAL THERAPY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Nov 2016 (8 years ago) |
| Document Number: | L16000212005 |
| FEI/EIN Number | 81-4559514 |
| Address: | 3442 HIGH CLIFF RD., PANAMA CITY, FL 32409 |
| Mail Address: | 3442 HIGH CLIFF RD., PANAMA CITY, FL 32409 |
| ZIP code: | 32409 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750827168 | 2017-01-09 | 2023-06-12 | 3442 HIGH CLIFF RD, PANAMA CITY, FL, 324094424, US | 3009 HIGHWAY 77 STE O, PANAMA CITY, FL, 324055059, US | |||||||||||||||||||||
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| Phone | +1 850-381-0284 |
| Phone | +1 850-248-0241 |
| Fax | 8502480237 |
Authorized person
| Name | STEPHEN P PEADEN |
| Role | OWNER |
| Phone | 8502480241 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT19638 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEADEN, STEPHEN P | Agent | 3442 HIGH CLIFF RD., PANAMA CITY, FL 32409 |
| Name | Role | Address |
|---|---|---|
| PEADEN, STEPHEN P | Authorized Member | 3442 HIGH CLIFF RD., PANAMA CITY, FL 32409 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000146749 | RESTORE PHYSICAL THERAPY | ACTIVE | 2024-12-04 | 2029-12-31 | No data | 3009 HIGHWAY 77, SUITE O, PANAMA CITY, FL, 32405 |
| G17000013402 | RESTORE PHYSICAL THERAPY | EXPIRED | 2017-02-06 | 2022-12-31 | No data | 3009 HWY. 77, SUITE G, PANAMA CITY, FL, 32405 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-04-03 |
| Florida Limited Liability | 2016-11-18 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
