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GATES PHYSICAL THERAPY, LLC

Company Details

Entity Name: GATES PHYSICAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Nov 2020 (4 years ago)
Document Number: L20000371777
FEI/EIN Number 853904604
Address: 1001 S SHANNON AVENUE, INDIALANTIC, FL, 32903, US
Mail Address: 225 Ormond Drive, INDIALANTIC, FL, 32903, US
ZIP code: 32903
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841950680 2021-12-21 2021-12-21 1001 S SHANNON AVE, INDIALANTIC, FL, 329033334, US 1001 S SHANNON AVE, INDIALANTIC, FL, 329033334, US

Contacts

Phone +1 352-514-2167
Fax 3212347910

Authorized person

Name DR. PAMELA RENEE GATES
Role OWNER
Phone 3525142167

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
GATES PAMELA R Agent 225 Ormond Drive, INDIALANTIC, FL, 32903

Manager

Name Role Address
GATES PAMELA R Manager 225 Ormond Drive, INDIALANTIC, FL, 32903

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-05-20 1001 S SHANNON AVENUE, INDIALANTIC, FL 32903 No data
REGISTERED AGENT ADDRESS CHANGED 2024-05-20 225 Ormond Drive, INDIALANTIC, FL 32903 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-06 1001 S SHANNON AVENUE, INDIALANTIC, FL 32903 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-20
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-01-06
Florida Limited Liability 2020-11-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State