| Entity Name: | SOUTH FLORIDA PHYSICAL MEDICINE & REHABILITATION CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 May 2018 (7 years ago) |
| Document Number: | L18000109754 |
| FEI/EIN Number | 82-5317368 |
| Address: | 1200 S MAIN ST, 200, BELLE GLADE, FL, 33430 |
| Mail Address: | 1200 S MAIN ST, 200, BELLE GLADE, FL, 33430 |
| ZIP code: | 33430 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568952240 | 2018-05-17 | 2018-05-17 | PO BOX 223152, WEST PALM BEACH, FL, 334223152, US | 1200 S MAIN ST STE 200, BELLE GLADE, FL, 334307808, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-270-9146 |
| Fax | 5619928872 |
Authorized person
| Name | MRS. LAVITA THOMSPON |
| Role | OFFICE MANAGER |
| Phone | 5619967585 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | ME114223 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOPKIN SANFORD R | Agent | 1166 W NEWPORT CENTER DR, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| THOMPSON CHRIS | Manager | 1200 S MAIN ST SUITE 200, BELLE GLADE, FL, 33430 |
| LAUEADIO MARK | Manager | 1200 S MAIN ST, BELLE GLADE, FL, 33430 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-04-23 |
| Florida Limited Liability | 2018-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
