| Entity Name: | FLORIDA MOVEMENT THERAPY CENTER-PLANTATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Oct 2017 (7 years ago) |
| Document Number: | L17000217795 |
| FEI/EIN Number | 82-3217504 |
| Address: | 1825 N PINE ISLAND RD, PLANTATION, FL 33322 |
| Mail Address: | 12040 S JOG RD, Suite #6, BOYNTON BEACH, FL 33437 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285146431 | 2017-10-27 | 2017-10-27 | 12040 S JOG RD STE 7, BOYNTON BEACH, FL, 334374164, US | 1825 N PINE ISLAND RD, PLANTATION, FL, 333225207, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 561-510-7138 |
| Fax | 5615107152 |
| Phone | +1 561-510-7136 |
Authorized person
| Name | JODI GRAY |
| Role | CLINIC DIRECTOR |
| Phone | 5615107138 |
Taxonomy
| Taxonomy Code | 2251N0400X - Neurology Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225XN1300X - Neurorehabilitation Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role |
|---|---|
| FLMTC HOLDINGS, LLC | Agent |
| Name | Role |
|---|---|
| FLMTC HOLDINGS, LLC | Manager |
| Name | Role | Address |
|---|---|---|
| GRAY, JODI | Authorized Member | 12040 S JOG RD, Suite #6 BOYNTON BEACH, FL 33437 |
| GRAY, EDWARD | Authorized Member | 12040 S JOG RD, Suite #6 BOYNTON BEACH, FL 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-11 | 1825 N PINE ISLAND RD, PLANTATION, FL 33322 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-11 | 12040 S JOG RD, Suite #6, BOYNTON BEACH, FL 33437 | 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 |
| Florida Limited Liability | 2017-10-20 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
