| Entity Name: | LEADING EDGE PHYSICAL THERAPY & SPORTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 May 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2015 (9 years ago) |
| Document Number: | P02000051528 |
| FEI/EIN Number | 611414091 |
| Address: | 500 Florida Avenue South, Suite 620, Lakeland, FL, 33801, US |
| Mail Address: | 500 Florida Avenue South, Suite 620, Lakeland, FL, 33801, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003903261 | 2006-10-09 | 2024-10-06 | 500 S FLORIDA AVE STE 16, LAKELAND, FL, 338015276, US | 500 S FLORIDA AVE STE 620, LAKELAND, FL, 338015269, US | |||||||||||||||
|
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| Phone | +1 863-688-1800 |
| Fax | 8636881824 |
Authorized person
| Name | MR. MIKE T RYAN |
| Role | OWNER/ PHYSICAL THERAPIST |
| Phone | 8636881800 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RYAN MICHAEL T | Agent | 500 Florida Avenue South, Lakeland, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| Martin Michelle L | Chief Operating Officer | 500 Florida Avenue South, Lakeland, FL, 33801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-12 | 500 Florida Avenue South, Suite 620, Lakeland, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-12 | 500 Florida Avenue South, Suite 620, Lakeland, FL 33801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-12 | 500 Florida Avenue South, Suite 620, Lakeland, FL 33801 | No data |
| REINSTATEMENT | 2015-10-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-01 | RYAN, MICHAEL T | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-04-25 |
| REINSTATEMENT | 2015-10-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
