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