| Entity Name: | CALEB YOUNGBLOOD P.T. INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Apr 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P14000033759 |
| FEI/EIN Number | 46-5435734 |
| Address: | 4146 NE Hyline Dr, Jensen Beach, FL, 34957, US |
| Mail Address: | 4146 NE Hyline Dr, Jensen Beach, FL, 34957, US |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427600535 | 2019-07-10 | 2019-07-10 | 10701 S OCEAN DR LOT 888, JENSEN BEACH, FL, 349572641, US | 10701 S OCEAN DR LOT 888, JENSEN BEACH, FL, 349572641, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 772-285-4984 |
Authorized person
| Name | MR. CALEB LUCAS YOUNGBLOOD |
| Role | PRESIDENT |
| Phone | 7722854984 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | PT24611 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YOUNGBLOOD CALEB | Agent | 4146 NE Hyline Dr, Jensen Beach, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| YOUNGBLOOD CALEB | President | 4146 NE Hyline Dr, Jensen Beach, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-02 | 4146 NE Hyline Dr, Jensen Beach, FL 34957 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-02 | 4146 NE Hyline Dr, Jensen Beach, FL 34957 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-02 | 4146 NE Hyline Dr, Jensen Beach, FL 34957 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-05-20 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-07-02 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-22 |
| Domestic Profit | 2014-04-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
