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FUNCTIONAL INTEGRATIVE TRAINING, INC.

Company Details

Entity Name: FUNCTIONAL INTEGRATIVE TRAINING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Oct 2005 (19 years ago)
Document Number: P05000137188
FEI/EIN Number 562541360
Address: 19 Old Kings Rd. North, Palm Coast, FL, 32137, US
Mail Address: P.O. BOX 354932, PALM COAST, FL, 32135, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669697413 2007-04-16 2021-12-13 PO BOX 354932, PALM COAST, FL, 321354932, US 19 OLD KINGS RD N STE C107, PALM COAST, FL, 321378261, US

Contacts

Phone +1 386-445-2348
Fax 3862694907

Authorized person

Name DR. DESIREE MONTANARI CHALLICE
Role PRESIDENT
Phone 3864452348

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PT16878
State FL
Is Primary Yes

Agent

Name Role Address
CHALLICE DAVID Agent 19 Old Kings Rd. North, Palm Coast, FL, 32137

Director

Name Role Address
CHALLICE DAVID Director P.O. BOX 354932, PALM COAST, FL, 32135
CHALLICE DESIREE M Director P.O. BOX 354932, PALM COAST, FL, 32135

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000102746 PEAK FITNESS AND REHAB ACTIVE 2014-10-09 2029-12-31 No data 19 OLD KINGS ROAD N, SUITE C107, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-03-31 19 Old Kings Rd. North, SUITE C 107, Palm Coast, FL 32137 No data
CHANGE OF PRINCIPAL ADDRESS 2018-11-13 19 Old Kings Rd. North, SUITE C 107, Palm Coast, FL 32137 No data
CHANGE OF MAILING ADDRESS 2011-03-21 19 Old Kings Rd. North, SUITE C 107, Palm Coast, FL 32137 No data

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-02-27
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-03-31

Date of last update: 03 Feb 2025

Sources: Florida Department of State