| Entity Name: | FISIOACTIVE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Oct 2022 (2 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 26 Apr 2023 (2 years ago) |
| Document Number: | L22000427790 |
| FEI/EIN Number | 92-0601456 |
| Address: | 6649 BRIDGMAN ST, ORLANDO, FL 32827 |
| Mail Address: | 6649 BRIDGMAN ST, ORLANDO, FL 32827 |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649037896 | 2024-03-04 | 2024-03-04 | 6649 BRIDGMAN ST, ORLANDO, FL, 328277941, US | 6649 BRIDGMAN ST, ORLANDO, FL, 328277941, US | |||||||||||||
|
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| Phone | +1 407-233-9182 |
Authorized person
| Name | LAURA ARBOLEDA CALDERON |
| Role | PHYSICAL THERAPISTS |
| Phone | 4072339182 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARBOLEDA, LAURA | Agent | 6649 BRIDGMAN ST, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, RICARDO | Authorized Member | 6649 BRIDGMAN ST, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| ARBOLEDA CALDERON, LAURA M | Manager | 6649 BRIDGMAN ST, ORLANDO, FL 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-04-26 | FISIOACTIVE PHYSICAL THERAPY LLC | No data |
| LC AMENDMENT | 2022-10-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-24 | ARBOLEDA, LAURA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| LC Amendment and Name Change | 2023-04-26 |
| ANNUAL REPORT | 2023-02-06 |
| LC Amendment | 2022-10-24 |
| Florida Limited Liability | 2022-10-03 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
