| Entity Name: | FYZICAL AUDIOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Apr 2021 (4 years ago) |
| Document Number: | L21000175742 |
| FEI/EIN Number | 87-3555190 |
| Mail Address: | 1751 Mound Street Suite 102, Sarasota, FL 34236 |
| Address: | 16251 N Cleveland Ave, Suite #4, North Fort Myers, FL 33903 |
| ZIP code: | 33903 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407513666 | 2021-11-23 | 2024-07-02 | 9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV, 891298935, US | 16251 N CLEVELAND AVE STE 4, NORTH FORT MYERS, FL, 339032176, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 702-818-5000 |
| Fax | 7028185001 |
| Phone | +1 239-731-6222 |
Authorized person
| Name | BRIAN BELMONT |
| Role | CEO |
| Phone | 9412274122 |
Taxonomy
| Taxonomy Code | 237600000X - Audiologist-Hearing Aid Fitter |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Thompson, Eric | Manager | 16251 N Cleveland Ave, Suite #4, North Fort Myers, FL 33903 |
| Belmont, Brian | Manager | 16251 N Cleveland Ave, Suite #4, North Fort Myers, FL 33903 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000136614 | FYZICAL THERAPY & BALANCE CENTERS | ACTIVE | 2022-11-02 | 2027-12-31 | No data | 1751 MOUND STREET, SUITE 102, SARASOTA, FL, 34236 |
| G22000070589 | FYZICAL THERAPY & BALANCE CENTERS | ACTIVE | 2022-06-09 | 2027-12-31 | No data | 1751 MOUND STREET, SUITE 102, SARASOTA, FL, 34236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 16251 N Cleveland Ave, Suite #4, North Fort Myers, FL 33903 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 16251 N Cleveland Ave, Suite #4, North Fort Myers, FL 33903 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| Florida Limited Liability | 2021-04-15 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
