REVIVE PHYSICAL THERAPY LLC - Florida Company Profile
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| Entity Name: | REVIVE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Nov 2021 (4 years ago) |
| Document Number: | L21000477289 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2151 45th Street, West Palm Beach, FL, 33407, US |
| Mail Address: | 2151 45th Street, West Palm Beach, FL, 33407, US |
| ZIP code: | 33407 |
| City: | West Palm Beach |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Stanley Blaire TTEE | Agent | 2151 45th Street, West Palm Beach, FL, 33407 |
| STANLEY BLAIRE TTEE, A | Manager | 2151 45th Street, West Palm Beach, FL, 33407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000047383 | PEC PROVIDER REQUIREMENTS LLC | ACTIVE | 2025-04-07 | 2030-12-31 | - | 560 VILLAGE BLVD, SUITE 120, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-05 | 2151 45th Street, 104, West Palm Beach, FL 33407 | - |
| CHANGE OF MAILING ADDRESS | 2022-08-05 | 2151 45th Street, 104, West Palm Beach, FL 33407 | - |
| REGISTERED AGENT NAME CHANGED | 2022-08-05 | Stanley , Blaire, TTEE | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-05 | 2151 45th Street, 104, West Palm Beach, FL 33407 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-08-05 |
| Florida Limited Liability | 2021-11-04 |
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Date of last update: 03 Aug 2025
Sources: Florida Department of State