| Entity Name: | FL PHYSIO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Dec 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 12 Sep 2022 (2 years ago) |
| Document Number: | L19000002176 |
| FEI/EIN Number | 83-3619094 |
| Address: | 3700 ULMERTON ROAD,, SUITE 204, CLEARWATER, FL 33765 |
| Mail Address: | 3700 ULMERTON ROAD,, SUITE 204, CLEARWATER, FL 33765 |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952968117 | 2019-05-23 | 2019-05-23 | 3700 ULMERTON RD STE 204, CLEARWATER, FL, 337624235, US | 3719 ALABAMA AVE NE, ST PETERSBURG, FL, 337036003, US | |||||||||||||
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| Phone | +1 727-490-8262 |
Authorized person
| Name | LEIGHTON PEAVLER |
| Role | D.P.T |
| Phone | 3407794678 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEAVLER, LEIGHTON A | Agent | 4929 19th St N, SAINT PETERSBURG, FL 33714 |
| Name | Role | Address |
|---|---|---|
| PEAVLER, LEIGHTON A | Manager | 4929 19th St N, SAINT PETERSBURG, FL 33714 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000023689 | FLORIDA PHYSIO | ACTIVE | 2019-02-18 | 2029-12-31 | No data | 3700 ULMERTON ROAD, 204, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 4929 19th St N, SAINT PETERSBURG, FL 33714 | No data |
| LC STMNT OF RA/RO CHG | 2022-09-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-06-03 | 3700 ULMERTON ROAD,, SUITE 204, CLEARWATER, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2019-06-03 | 3700 ULMERTON ROAD,, SUITE 204, CLEARWATER, FL 33765 | No data |
| LC NAME CHANGE | 2019-02-07 | FL PHYSIO, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-24 |
| CORLCRACHG | 2022-09-12 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-19 |
| LC Name Change | 2019-02-07 |
| Florida Limited Liability | 2018-12-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4025657104 | 2020-04-12 | 0455 | PPP | 3700 ULMERTON RD Suite 204, CLEARWATER, FL, 33762-4215 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
