| Entity Name: | PRECISION PHYSICAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Aug 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L17000163717 |
| FEI/EIN Number | 37-1865775 |
| Address: | 1611 SANTA BARBARA BLVD, SUITE 120, CAPE CORAL, FL 33991 |
| Mail Address: | P.O. BOX 151850, CAPE CORAL, FL 33915 |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PRECISION PHYSICAL MEDICINE, LLC, COLORADO | 20201451170 | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306359617 | 2017-11-08 | 2017-12-13 | PO BOX 151850, CAPE CORAL, FL, 339151850, US | 6811 PORTO FINO CIR, FORT MYERS, FL, 339124354, US | |||||||||||||||||||||||||
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| Phone | +1 239-908-0899 |
| Fax | 2397915526 |
| Phone | +1 239-288-2218 |
Authorized person
| Name | DR. JAMES BOLGER |
| Role | OWNER |
| Phone | 2399080899 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | CH11936 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BOLGER, JAMES | Manager | 1611 SANTA BARBARA BLVD, SUITE 120 CAPE CORAL, FL 33991 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000104670 | COMPLETE PHYSICAL MEDICINE, LLC | EXPIRED | 2017-09-20 | 2022-12-31 | No data | 6811 PORTO FINO CIRCLE, FORT MYERS, FL, 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-15 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-30 | Northwest Registered Agent LLC | No data |
| LC STMNT OF RA/RO CHG | 2018-09-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-31 | 1611 SANTA BARBARA BLVD, SUITE 120, CAPE CORAL, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2017-11-13 | 1611 SANTA BARBARA BLVD, SUITE 120, CAPE CORAL, FL 33991 | No data |
| LC STMNT OF RA/RO CHG | 2017-11-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-31 |
| CORLCRACHG | 2018-09-10 |
| ANNUAL REPORT | 2018-01-15 |
| CORLCRACHG | 2017-11-13 |
| Florida Limited Liability | 2017-08-01 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
