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