| Entity Name: | FLORIDA PHYSICAL THERAPY SERVICES OF PENSACOLA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Apr 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 16 Nov 2023 (a year ago) |
| Document Number: | L18000084664 |
| FEI/EIN Number | 38-4077716 |
| Address: | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 |
| Mail Address: | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639662729 | 2018-06-13 | 2024-05-30 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 428 AIRPORT BLVD, PENSACOLA, FL, 32503, US | |||||||||||||||||||||||||||
|
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 850-332-0202 |
| Fax | 8507600934 |
Authorized person
| Name | JOSHUA L PROFFITT |
| Role | PRESIDENT |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Proffitt, Joshua L. | Manager | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 |
| Seymour, Kimberly | Manager | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 |
| Macip, Marcus D. | Manager | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000123236 | FLORIDA PHYSICAL THERAPY SERVICES OF PENSACOLA | ACTIVE | 2019-11-18 | 2029-12-31 | No data | 901 HUGH WALLIS RD SOUTH, LAFAYETTE, LA, 70508 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2023-11-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-11-16 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-16 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-01 | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-01 | 901 Hugh Wallis Road South, LAFAYETTE, LA 70508 | No data |
| LC STMNT OF RA/RO CHG | 2018-07-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| CORLCRACHG | 2023-11-16 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-05-01 |
| CORLCRACHG | 2018-07-24 |
| Florida Limited Liability | 2018-04-06 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
