| Entity Name: | MABATH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Mar 2017 (8 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: | L17000059648 |
| FEI/EIN Number | 82-0852568 |
| Address: | 926 N O St, Lake worth, FL, 33460, US |
| Mail Address: | 926 N O St, Lake worth, FL, 33460, US |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679038483 | 2019-02-06 | 2019-07-11 | 926 N O ST, LAKE WORTH, FL, 334602746, US | 6971 N FEDERAL HWY STE 205, BOCA RATON, FL, 334871648, US | |||||||||||||||||||||
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| Phone | +1 407-490-8052 |
| Fax | 3054669543 |
Authorized person
| Name | JORGE GARCIA |
| Role | CREDENTIALING DIRECTOR |
| Phone | 3056060337 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PT |
| Number | 29622 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REMESY MICHEL | Agent | 926 N O St, Lake worth, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| REMESY MICHEL | Manager | 926 N O St, Lake worth, FL, 33460 |
| REMESY MAXIME | Manager | 926 N O St, Lake worth, FL, 33460 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-26 | 926 N O St, Lake worth, FL 33460 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-04 | 926 N O St, Lake worth, FL 33460 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-04 | 926 N O St, Lake worth, FL 33460 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-06-04 |
| Florida Limited Liability | 2017-03-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
