| Entity Name: | CAPE PHYSICAL MEDICINE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Nov 2021 (3 years ago) |
| Document Number: | L21000484795 |
| FEI/EIN Number | 87-3304032 |
| Address: | 1611 SANTA BARBARA BLVD, 120, CAPE CORAL, FL 33991 |
| Mail Address: | 1611 SANTA BARBARA BLVD, 120, CAPE CORAL, FL 33991 |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376202606 | 2021-12-14 | 2021-12-14 | 1611 SANTA BARBARA BLVD STE 120, CAPE CORAL, FL, 339913479, US | 1611 SANTA BARBARA BLVD STE 120, CAPE CORAL, FL, 339913479, US | |||||||||||||
|
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| Phone | +1 239-321-5759 |
Authorized person
| Name | DR. DOUGLAS STERBAN |
| Role | OWNER & DOCTOR |
| Phone | 2393215759 |
Taxonomy
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STERBAN, DOUG S | Agent | 1611 SANTA BARBARA, 120, CAPE CORAL, FL 33991 |
| Name | Role | Address |
|---|---|---|
| STERBAN, DOUG S | Manager | 1611 SANTA BARBARA BLVD, CAPE CORAL, FL 33991 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-30 |
| AMENDED ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2022-02-20 |
| Florida Limited Liability | 2021-11-09 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
