| Entity Name: | MOMENTUM HEALTH CENTERS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jun 2023 (2 years ago) |
| Document Number: | L23000284686 |
| FEI/EIN Number | 93-2058662 |
| Address: | 4211 WEST BOY SCOUT BLVD, Suite 450, TAMPA, FL 33607 |
| Mail Address: | 4211 West Boy Scout Blvd, Suite 450, Tampa, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275212318 | 2023-07-17 | 2024-04-25 | 4211 W BOY SCOUT BLVD STE 450, TAMPA, FL, 336075724, US | 4211 W BOY SCOUT BLVD STE 450, TAMPA, FL, 336075724, US | |||||||||||||||
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| Phone | +1 813-445-6550 |
| Fax | 8134456505 |
Authorized person
| Name | CARL CONFORTI |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8134456550 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PIEPER CONFORTI, CATALINA O | Agent | 146 CARLYLE DR., PALM HARBOR, FL 34683 |
| Name | Role | Address |
|---|---|---|
| PIEPER CONFORTI, CATALINA O | Manager | 146 CARLYLE DR., PALM HARBOR, FL 34683 |
| CONFORTI, CARL G | Manager | 146 CARLYLE DR., PALM HARBOR, FL 34683 |
| RISOLDI, MICHAEL | Manager | 1560 CANOPY OAKS BLVD, PALM HARBOR, FL 34683 |
| BARKER, CHRISTOPHER | Manager | 2390 HERITAGE LAKES DRIVE, LAKELAND, FL 33803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000140917 | CHAMPION COMPREHENSIVE HEALTH CENTERS | ACTIVE | 2023-11-17 | 2028-12-31 | No data | 4211 WEST BOY SCOUT BLVD, SUITE 400, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-18 | 4211 WEST BOY SCOUT BLVD, Suite 450, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-18 | 4211 WEST BOY SCOUT BLVD, Suite 450, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| Florida Limited Liability | 2023-06-13 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
