| Entity Name: | BLOOM PELVIC THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 May 2020 (5 years ago) |
| Document Number: | L20000127581 |
| FEI/EIN Number | 86-2138516 |
| Address: | 16540 Pointe Village Drive, LUTZ, FL, 33558, US |
| Mail Address: | 16540 Pointe Village Drive, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487225272 | 2021-07-02 | 2021-07-13 | 18727 BIRCHWOOD GROVES DR, LUTZ, FL, 335588332, US | 18727 BIRCHWOOD GROVES DR, LUTZ, FL, 335588332, US | |||||||||||||
|
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| Phone | +1 813-719-0779 |
Authorized person
| Name | DR. BRITTANEY LEIGH SARGENT |
| Role | OWNER & PELVIC FLOOR THERAPIST |
| Phone | 8137190779 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SARGENT BRITTANEY L | Agent | 16540 Pointe Village Drive, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| SARGENT BRITTANEY L | Authorized Member | 16540 Pointe Village Drive, LUTZ, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000093725 | BLOOM PELVIC FLOOR THERAPY & WELLNESS | ACTIVE | 2021-07-18 | 2026-12-31 | No data | 16540 POINTE VILLAGE DR SUITE 209, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-01 | 16540 Pointe Village Drive, 205, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-01 | 16540 Pointe Village Drive, 205, LUTZ, FL 33558 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-01 | 16540 Pointe Village Drive, 205, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-02-18 |
| Florida Limited Liability | 2020-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
