| Entity Name: | INTEGUMENTARY PHYSIOTHERAPY INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Aug 2019 (6 years ago) |
| Document Number: | L19000204678 |
| FEI/EIN Number | 84-2755523 |
| Address: | 587 E State Road 434, Suite 1021, Longwood, FL 32750 |
| Mail Address: | 587 E State Road 434, Suite 1021, Longwood, FL 32750 |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598307993 | 2019-10-17 | 2023-11-10 | 587 E STATE ROAD 434 UNIT 1021, LONGWOOD, FL, 327505284, US | 587 E STATE ROAD 434 UNIT 1021, LONGWOOD, FL, 327505284, US | |||||||||||||||||||
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| Phone | +1 321-972-3238 |
| Fax | 3219723590 |
Authorized person
| Name | DR. NILMA ZULEIKA ELIAS SANTIAGO |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 3219723238 |
Taxonomy
| Taxonomy Code | 2251E1300X - Clinical Electrophysiology Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELIAS SANTIAGO, NILMA Z | Agent | 451 Hampton Crest Circle, apt 105, LAKE MARY, FL 32746 |
| Name | Role | Address |
|---|---|---|
| ELIAS SANTIAGO, NILMA Z | Manager | 451 Hampton Crest Circle, apt 105 LAKE MARY, FL 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000086987 | INTEGUMENTARY PHYSIOTHERAPY CLINIC | EXPIRED | 2019-08-17 | 2024-12-31 | No data | 1214 TRENTWOOD CT, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-30 | 451 Hampton Crest Circle, apt 105, LAKE MARY, FL 32746 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-08 | 587 E State Road 434, Suite 1021, Longwood, FL 32750 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-08 | 587 E State Road 434, Suite 1021, Longwood, FL 32750 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-30 |
| Florida Limited Liability | 2019-08-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6712688600 | 2021-03-23 | 0491 | PPS | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL, 32701-4810 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9203797706 | 2020-05-01 | 0491 | PPP | 616 East Altamonte Drive Ste 203, Altamonte Springs, FL, 32701 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
