| Entity Name: | ALPHA MEDICINE AND REHAB, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Aug 2022 (2 years ago) |
| Document Number: | L21000504133 |
| FEI/EIN Number | 87-3788180 |
| Address: | 2915 Colonial Blvd S., SUITE 220, Fort Myers, FL, 33966, US |
| Mail Address: | POST OFFICE BOX 100845, CAPE CORAL, FL, 33910, US |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033878152 | 2021-12-16 | 2021-12-16 | PO BOX 420037, KISSIMMEE, FL, 347420037, US | 2503 DEL PRADO BLVD S STE 510, CAPE CORAL, FL, 339045709, US | |||||||||||||||
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| Phone | +1 239-319-3933 |
| Fax | 2393505380 |
Authorized person
| Name | DR. PAUL WEBSTER |
| Role | AMBR |
| Phone | 2393193933 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDOZA ALDRICH | Agent | 2915 Colonial Blvd S., Fort Myers, FL, 33966 |
| Name | Role | Address |
|---|---|---|
| MENDOZA ALDRICH V | Manager | 2915 Colonial Blvd S., Fort Myers, FL, 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 2915 Colonial Blvd S., SUITE 220, Fort Myers, FL 33966 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-30 | 2915 Colonial Blvd S., SUITE 220, Fort Myers, FL 33966 | No data |
| LC AMENDMENT | 2022-08-19 | No data | No data |
| LC STMNT OF RA/RO CHG | 2022-07-01 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-01 | 2915 Colonial Blvd S., SUITE 220, Fort Myers, FL 33966 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-01 | MENDOZA, ALDRICH | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-01-30 |
| LC Amendment | 2022-08-19 |
| CORLCRACHG | 2022-07-01 |
| ANNUAL REPORT | 2022-02-02 |
| Florida Limited Liability | 2021-11-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
