Entity Name: | DR. LAUREN PT, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 24 Dec 2020 (4 years ago) |
Document Number: | L21000004377 |
FEI/EIN Number | 86-1294803 |
Address: | 9373 Fox Trot Ln, Boca Raton, FL, 33496, US |
Mail Address: | 9373 Fox Trot Ln, Boca Raton, FL, 33496, US |
ZIP code: | 33496 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639895303 | 2022-10-14 | 2023-07-10 | 9373 FOX TROT LN, BOCA RATON, FL, 334964103, US | 1200 CLINT MOORE RD STE 11, BOCA RATON, FL, 334872731, US | |||||||||||||||
|
Phone | +1 561-235-2976 |
Fax | 5612705504 |
Authorized person
Name | DR. LAUREN WALING |
Role | OWNER |
Phone | 5612352976 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WALING LAUREN R | Agent | 9373 Fox Trot Ln, Boca Raton, FL, 33496 |
Name | Role | Address |
---|---|---|
WALING LAUREN R | Manager | 9373 Fox Trot Ln, Boca Raton, FL, 33496 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000081060 | ACHIEVE MOVEMENT PHYSICAL THERAPY & SPORTS REHAB | ACTIVE | 2022-07-07 | 2027-12-31 | No data | 9373 FOX TROT LANE, BOCA RATON, FL, 33496 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 9373 Fox Trot Ln, Boca Raton, FL 33496 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-08-08 | 9373 Fox Trot Ln, Boca Raton, FL 33496 | No data |
CHANGE OF MAILING ADDRESS | 2023-08-08 | 9373 Fox Trot Ln, Boca Raton, FL 33496 | No data |
REGISTERED AGENT NAME CHANGED | 2023-04-16 | WALING, LAUREN R | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-16 |
ANNUAL REPORT | 2022-04-15 |
Florida Limited Liability | 2020-12-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State