| Entity Name: | SPORTSEDGE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Feb 2019 (6 years ago) |
| Date of dissolution: | 18 Apr 2024 (9 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Apr 2024 (9 months ago) |
| Document Number: | L19000058112 |
| FEI/EIN Number | 83-3955558 |
| Address: | 4800 NE 20 Terrace Ste, 303, Fort Lauderdale, FL, 33308, US |
| Mail Address: | 4800 NE 20 Terrace Ste, 303, Fort Lauderdale, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407492424 | 2019-11-25 | 2019-11-25 | PO BOX 11147, FORT LAUDERDALE, FL, 333391147, US | 2825 N STATE ROAD 7 STE 204, MARGATE, FL, 330635737, US | |||||||||||||
|
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| Phone | +1 954-451-3002 |
Authorized person
| Name | GERNELL HAMILTON |
| Role | CREDENTIALING SPECIALIST |
| Phone | 9544513008 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REYNOLDS KEVIN | Agent | 2401 NW BOCA RATON BLVD, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| Fenelon Brigid | Manager | 4800 NE 20 Terrace Ste, Fort Lauderdale, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 4800 NE 20 Terrace Ste, 303, Fort Lauderdale, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 4800 NE 20 Terrace Ste, 303, Fort Lauderdale, FL 33308 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-18 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-06-10 |
| Florida Limited Liability | 2019-02-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
