| Entity Name: | XLB PHYSICAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Mar 2023 (2 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 21 Aug 2023 (a year ago) |
| Document Number: | L23000116589 |
| FEI/EIN Number | 923845624 |
| Address: | 4760 W WOOLBRIGHT ROAD, # 103, VILLAGE OF GOLF, FL, 33436, US |
| Mail Address: | 4760 W WOOLBRIGHT ROAD, # 103, VILLAGE OF GOLF, FL, 33436, US |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548043995 | 2023-08-17 | 2023-08-17 | 4760 WOOLBRIGHT RD STE 103, VILLAGE OF GOLF, FL, 334366620, US | 4760 WOOLBRIGHT RD STE 103, VILLAGE OF GOLF, FL, 334366620, US | |||||||||||||||||||
|
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| Phone | +1 561-323-3201 |
| Fax | 5614310828 |
Authorized person
| Name | ANDREW BOSIER |
| Role | OWNER |
| Phone | 5613233201 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AUTHENTIC HEALTH SOLUTIONS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BOSIER ANDREW | Manager | 4760 W WOOLBRIGHT ROAD, VILLAGE OF GOLF, FL, 33436 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000135572 | COOPER CITY CHIROPRACTIC | ACTIVE | 2023-11-03 | 2028-12-31 | No data | 4760 W WOOLBRIGHT ROAD, #103, VILLAGE OF GOLF, FL, 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2023-08-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-21 | AUTHENTIC HEALTH SOLUTIONS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| CORLCRACHG | 2023-08-21 |
| Florida Limited Liability | 2023-03-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
