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CL6 PHYSIATRY, PLLC

Company Details

Entity Name: CL6 PHYSIATRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Sep 2021 (3 years ago)
Document Number: L21000391386
FEI/EIN Number 87-2481943
Address: 2338 Immokalee Rd, 203, NAPLES, FL, 34110, US
Mail Address: 2338 Immokalee Rd, 203, NAPLES, FL, 34110, US
ZIP code: 34110
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588333793 2021-09-10 2021-09-10 2338 IMMOKALEE RD STE 203, NAPLES, FL, 341101445, US 2575 NORTHBROOKE PLAZA DR UNIT 207, NAPLES, FL, 341198099, US

Contacts

Phone +1 239-919-4342

Authorized person

Name MARCI CHARLAND
Role ADMINISTRATOR
Phone 2399194342

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role Address
CHARLAND MARCI Agent 2338 Immokalee Road #203, NAPLES, FL, 34110

Authorized Member

Name Role Address
LADD CURTIS G Authorized Member 7436 INSPIRA LN, 2310, NAPLES, FL, 34113

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-01 2338 Immokalee Rd, 203, NAPLES, FL 34110 No data
CHANGE OF MAILING ADDRESS 2024-02-01 2338 Immokalee Rd, 203, NAPLES, FL 34110 No data
REGISTERED AGENT NAME CHANGED 2022-01-12 CHARLAND, MARCI No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-12 2338 Immokalee Road #203, NAPLES, FL 34110 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-12
Florida Limited Liability 2021-09-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State