| Entity Name: | SPORTS MEDICINE AND REHAB FITNESS, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jun 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | M17000004807 |
| FEI/EIN Number | 820972167 |
| Address: | 727 NORTH DR, STE L, MELBOURNE, FL, 32934, US |
| Mail Address: | 4405 CROOKED MILE RD, MERRIT ISLAND, FL, 32952, US |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | WYOMING |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568997880 | 2017-04-24 | 2017-04-24 | 727 NORTH DR STE L, MELBOURNE, FL, 329349233, US | 4405 CROOKED MILE RD, MERRITT ISLAND, FL, 329526310, US | |||||||||||||||||
|
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| Phone | +1 956-343-9244 |
Authorized person
| Name | DR. ELIZABETH VASSER |
| Role | PHYSICIAN/OWNER |
| Phone | 9563439244 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | ME111472 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VASSER ELIZABETH MD | Agent | 4405 CROOKED MILE RD, MERRITT ISLAND, FL, 32952 |
| Name | Role | Address |
|---|---|---|
| VASSER ELIZABETH MD | Owner | 4405 CROOKED MILE RD, MERRITT ISLAND, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-28 |
| Foreign Limited | 2017-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
