| Entity Name: | FRONTIER PHYSICAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Oct 2021 (3 years ago) |
| Document Number: | L21000231461 |
| FEI/EIN Number | 86-4000016 |
| Address: | 2461 Enterprise Rd., Clearwater, FL, 33763, US |
| Mail Address: | 2461 ENTERPRISE ROAD, SUITE C, CLEARWATER, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457023731 | 2021-10-04 | 2021-10-04 | 2461 ENTERPRISE RD STE C, CLEARWATER, FL, 337631726, US | 2461 ENTERPRISE RD STE C, CLEARWATER, FL, 337631726, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 727-683-6610 |
Authorized person
| Name | DR. FATIMA HUSSEIN |
| Role | OWNER |
| Phone | 7276836610 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Silverman Bain, LLP | Agent | 1001 YAMATO ROAD SUITE 311, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| HUSSEIN FATIMA | Authorized Member | 2461 ENTERPRISE ROAD, CLEARWATER, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 2461 Enterprise Rd., Ste. C, Clearwater, FL 33763 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | Silverman Bain, LLP | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-04 | 1001 YAMATO ROAD SUITE 311, BOCA RATON, FL 33431 | No data |
| LC AMENDMENT | 2021-10-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-16 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-04 |
| LC Amendment | 2021-10-07 |
| Florida Limited Liability | 2021-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
