| Entity Name: | CHEST PT 101, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Sep 2019 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L19000225777 |
| FEI/EIN Number | 84-3055130 |
| Address: | 5699 Bassett Place, Sanford, FL 32771 |
| Mail Address: | 4126 CUMMINGS ST, ORLANDO, FL 32828 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922649151 | 2019-09-29 | 2020-02-12 | 4745 OLD HIGHWAY 37 STE 103, LAKELAND, FL, 338132031, US | 4745 OLD HIGHWAY 37 STE 103, LAKELAND, FL, 338132031, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 833-327-8101 |
| Fax | 8333278101 |
Authorized person
| Name | TAMIKA L GRUBBS |
| Role | DON |
| Phone | 4077300795 |
Taxonomy
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 227900000X - Registered Respiratory Therapist |
| Is Primary | Yes |
| Taxonomy Code | 2279E1000X - Educational Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279P1005X - Pulmonary Rehabilitation Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279P1006X - Pulmonary Function Technologist Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GRUBBS, TAMIKA L | Agent | 4126 CUMMINGS ST, ORLANDO, FL 32828 |
| Name | Role | Address |
|---|---|---|
| RAHHALI-WEBB, KARIMA | Chief Executive Officer | 5699 BASSETT PLACE, SANFORD, FL 32771 |
| Grubbs, Tamika L | Chief Executive Officer | 4126 Cummings St, Orlando, FL 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 5699 Bassett Place, Sanford, FL 32771 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-03 |
| Florida Limited Liability | 2019-09-06 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
