| Entity Name: | RE-ENGAGE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Oct 2021 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000441365 |
| Address: | 77079 COBBLESTONE DR., YULEE, FL, 32097 |
| Mail Address: | 77079 COBBLESTONE DR., YULEE, FL, 32097 |
| ZIP code: | 32097 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821716754 | 2022-08-17 | 2022-08-17 | 77079 COBBLESTONE DR, YULEE, FL, 320970645, US | 77079 COBBLESTONE DR, YULEE, FL, 320970645, US | |||||||||||||
|
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| Phone | +1 530-591-2820 |
Authorized person
| Name | KEVIN FREDENBURG |
| Role | OWNER, PHYSICAL THERAPIST |
| Phone | 5305912820 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FREDENBURG KEVIN G | Agent | 77079 COBBLESTONE DR., YULEE, FL, 32097 |
| Name | Role | Address |
|---|---|---|
| FREDENBURG KEVIN G | Authorized Representative | 77079 COBBLESTONE DR., YULEE, FL, 32097 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-10-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
