| Entity Name: | BALANCED BODY GAINESVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jun 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2013 (11 years ago) |
| Document Number: | P01000058498 |
| FEI/EIN Number | 593723606 |
| Address: | 3909 Newberry Rd, GAINESVILLE, FL, 32607, US |
| Mail Address: | 3909 Newberry Rd, GAINESVILLE, FL, 32607, US |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326002387 | 2006-04-14 | 2011-08-08 | 4880 W. NEWBERRY RD, SUITE 180, GAINESVILLE, FL, 326076652, US | 4880 W. NEWBERRY RD, SUITE 180, GAINESVILLE, FL, 326076652, US | |||||||||||||||||||||
|
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| Phone | +1 352-331-3161 |
| Fax | 3523362475 |
Authorized person
| Name | LEE AUERBACH |
| Role | PRESIDENT/ADMINISTRATOR |
| Phone | 3523313161 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y901E |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AUERBACH LIORA | Agent | 3909 Newberry Rd, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| AUERBACH LIORA S | President | 3909 Newberry Rd, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 3909 Newberry Rd, SUITE D, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 3909 Newberry Rd, SUITE D, GAINESVILLE, FL 32607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-11 | 3909 Newberry Rd, SUITE D, GAINESVILLE, FL 32607 | No data |
| REINSTATEMENT | 2013-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2009-01-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
