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 |
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 | |||||||||||||
|
Phone | +1 239-248-6056 |
Authorized person
Name | JACOB BENJAMIN NASSBERG |
Role | OWNER |
Phone | 2392486056 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NOVATT JEFF ESQ. | Agent | 1415 PANTHER LANE, SUITE 432, NAPLES, FL, 34109 |
Name | Role | Address |
---|---|---|
NASSBERG JACOB | Manager | 3200 BAILEY LANE, NAPLES, FL, 34105 |
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 |
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 |
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