| Entity Name: | PEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Oct 2017 (7 years ago) |
| Document Number: | L17000218620 |
| FEI/EIN Number | 82-3426079 |
| Address: | 2200 Kings Hwy, Suite 2F, Punta Gorda, FL, 33980, US |
| Mail Address: | PO Box 510326, Punta Gorda, FL, 33951, US |
| ZIP code: | 33980 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285104828 | 2018-11-27 | 2020-07-28 | PO BOX 510326, PUNTA GORDA, FL, 339510326, US | 2200 KINGS HWY UNIT 2F, PORT CHARLOTTE, FL, 339805760, US | |||||||||||||||||||
|
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| Phone | +1 941-888-4561 |
| Fax | 9413474695 |
Authorized person
| Name | LANCE D DOEBLE |
| Role | AMBR |
| Phone | 9418884561 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DOEBLE LANCE D | Authorized Member | PO Box 510326, Punta Gorda, FL, 33951 |
| Name | Role | Address |
|---|---|---|
| Doeble Laurie R | Director | PO Box 510326, Punta Gorda, FL, 33951 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000030446 | PEACE RIVER PHYSICAL THERAPY & REHABILITATION | ACTIVE | 2021-03-03 | 2026-12-31 | No data | 2200 KINGS HWY, UNIT 2F, PORT CHARLOTTE, FL, 33980 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-05 | 2200 Kings Hwy, Suite 2F, Punta Gorda, FL 33980 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-27 | 2200 Kings Hwy, Suite 2F, Punta Gorda, FL 33980 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-04-27 |
| Florida Limited Liability | 2017-10-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
