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SOUTHWEST FLORIDA PELVIC HEALTH CLINIC, LLC

Company Details

Entity Name: SOUTHWEST FLORIDA PELVIC HEALTH CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Mar 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 28 Apr 2022 (3 years ago)
Document Number: L22000087957
FEI/EIN Number 88-1057128
Address: 3200 BAILEY LANE, NAPLES, FL, 34105, US
Mail Address: 3200 BAILEY LANE, NAPLES, FL, 34105, US
ZIP code: 34105
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396494035 2022-03-21 2022-03-21 3200 BAILEY LN STE 111, NAPLES, FL, 341058506, US 3200 BAILEY LN STE 111, NAPLES, FL, 341058506, US

Contacts

Phone +1 239-248-6056

Authorized person

Name JACOB BENJAMIN NASSBERG
Role OWNER
Phone 2392486056

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
NOVATT JEFF ESQ. Agent 1415 PANTHER LANE, SUITE 432, NAPLES, FL, 34109

Manager

Name Role Address
NASSBERG JACOB Manager 3200 BAILEY LANE, NAPLES, FL, 34105

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000060794 SOUTHWEST FLORIDA PELVIC HEALTH CLINIC ACTIVE 2022-05-15 2027-12-31 No data 3200 BAILEY LANE, SUITE 111, NAPLES, FL, 34105

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-16 3200 BAILEY LANE, SUITE 117, NAPLES, FL 34105 No data
CHANGE OF MAILING ADDRESS 2023-09-16 3200 BAILEY LANE, SUITE 117, NAPLES, FL 34105 No data
LC AMENDMENT 2022-04-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
AMENDED ANNUAL REPORT 2023-09-16
ANNUAL REPORT 2023-01-17
LC Amendment 2022-04-28
Florida Limited Liability 2022-03-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State