| Entity Name: | FITNESS MADE FUN INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Mar 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2021 (3 years ago) |
| Document Number: | P05000045999 |
| FEI/EIN Number | 202601449 |
| Address: | 3601 ne 25 ave, FT LAUDERDALE, FL, 33308, US |
| Mail Address: | 3601 ne 25 ave, FT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710109061 | 2007-05-03 | 2009-03-04 | 1634 POINSETTIA DR, FORT LAUDERDALE, FL, 333053245, US | 1634 POINSETTIA DR, FORT LAUDERDALE, FL, 333053245, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 954-661-5695 |
| Fax | 9545680682 |
Authorized person
| Name | MRS. JORDANA BETH FAINE SIADMAN |
| Role | OWNER |
| Phone | 9546615695 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | PT 19480 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 891911900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FAINE JORDANA | Agent | 3601 ne 25 ave, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| FAINE JORDANA M | Director | 3601 ne 25 ave, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| FAINE JORDANA M | President | 3601 ne 25 ave, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-06 | 3601 ne 25 ave, FT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-06 | 3601 ne 25 ave, FT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-06 | 3601 ne 25 ave, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-25 | FAINE, JORDANA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-03-09 |
| REINSTATEMENT | 2021-09-28 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
