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ADVANCED PHYSICAL THERAPY & REHAB OF LEE, LLC - Florida Company Profile

Company Details

Entity Name: ADVANCED PHYSICAL THERAPY & REHAB OF LEE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ADVANCED PHYSICAL THERAPY & REHAB OF LEE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 25 Oct 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 27 Dec 2023 (a year ago)
Document Number: L23000486114
FEI/EIN Number 48-1301450

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6314 Whiskey Creek Dr, Fort Myers, FL, 33919, US
Mail Address: 484 Riverside Ave, Jacksonville, FL, 32202, US
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710930623 2006-05-19 2024-02-26 PO BOX 932184, ATLANTA, GA, 311932184, US 6314 WHISKEY CREEK DR STE D, FORT MYERS, FL, 339198762, US

Contacts

Phone +1 239-432-0556
Fax 2394329727

Authorized person

Name AMANDA STREETER
Role VICE PRESIDENT
Phone 8006999395

Taxonomy

Taxonomy Code 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 008812000
State FL
Issuer DMEPOS
Number 6527110001
State FL
Issuer FL DEPT OF LABOR
Number 362346700
State FL
Issuer BLUE CROSS BLUE SHIELD FL
Number GG4
State FL

Key Officers & Management

Name Role
H2 HOLDCO, INC. Manager
COGENCY GLOBAL INC. Agent

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-22 6314 Whiskey Creek Dr, Fort Myers, FL 33919 -
CHANGE OF MAILING ADDRESS 2024-04-22 6314 Whiskey Creek Dr, Fort Myers, FL 33919 -
LC AMENDMENT 2023-12-27 - -
REGISTERED AGENT NAME CHANGED 2023-12-27 COGENCY GLOBAL INC. -
REGISTERED AGENT ADDRESS CHANGED 2023-12-27 115 N. CALHOUN STREET, STE 4, TALLAHASSEE, FL 32301 -
CONVERSION 2023-10-25 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P03000021956. CONVERSION NUMBER 700000245547

Documents

Name Date
ANNUAL REPORT 2024-04-22
LC Amendment 2023-12-27
Florida Limited Liability 2023-10-25

Date of last update: 02 Apr 2025

Sources: Florida Department of State