| Entity Name: | TEAM BODY FITNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Sep 2021 (3 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000391315 |
| Address: | 5181 MARINER BLVD, SPRING HILL, FL, 34609, US |
| Mail Address: | 5181 MARINER BLVD, SPRING HILL, FL, 34609, US |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487308979 | 2022-02-04 | 2022-02-04 | 11457 EXMORE ST, SPRING HILL, FL, 346092130, US | 5181 MARINER BLVD, SPRING HILL, FL, 346091834, US | |||||||||||||||||
|
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| Phone | +1 352-686-4660 |
Authorized person
| Name | RONALD SAMANIEGO |
| Role | DPT |
| Phone | 2243687133 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CAQH |
| Number | 12184154 |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SAMANIEGO RONALD T | Authorized Member | 5181 MARINER BLVD, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-09-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
