Entity Name: | PRESERVA THERAPY GROUP INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 20 Nov 2015 (9 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 10 Oct 2016 (8 years ago) |
Document Number: | P15000095021 |
FEI/EIN Number | 81-0685224 |
Address: | 105 E Stuart Ave, Lake Wales, FL, 33853, US |
Mail Address: | P.O. BOX 152, Babson Park, FL, 33827, US |
ZIP code: | 33853 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073988648 | 2015-12-08 | 2017-01-16 | PO BOX 7663, SEBRING, FL, 338720112, US | 4215 SUN N LAKE BLVD, SEBRING, FL, 338722158, US | |||||||||||||||||||
|
Phone | +1 863-658-1797 |
Fax | 8633850508 |
Authorized person
Name | MRS. MICHELLE RICE ALVAREZ |
Role | PHYSICAL THERAPIST |
Phone | 8636581797 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
License Number | PT18312 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RICE ALVAREZ MICHELLE M.S.P.T | Agent | 105 E Stuart Ave, Lake Wales, FL, 33853 |
Name | Role | Address |
---|---|---|
RICE MICHELLE | Chief Executive Officer | 105 E Stuart Ave, Lake Wales, FL, 33853 |
Name | Role | Address |
---|---|---|
Notaristefano Giovanni | Chief Financial Officer | 105 E Stuart Ave, Lake Wales, FL, 33853 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000070694 | PATIO105 | ACTIVE | 2024-06-06 | 2029-12-31 | No data | 105 E STUART AVE, LAKE WALES, FL, 33853 |
G22000130661 | PRESERVA INSTITUTE | ACTIVE | 2022-10-18 | 2027-12-31 | No data | 1 NORTH SCENIC HWY, SUITE 107, LAKE WALES, FL, 33853 |
G21000160760 | PRESERVA THERAPY MED SPA | ACTIVE | 2021-12-03 | 2026-12-31 | No data | PO BOX 152, BABSON PARK, FL, 33827 |
G18000119757 | THE BREAST CANCER RECOVERY SITE | EXPIRED | 2018-11-07 | 2023-12-31 | No data | PO BOX 7663, SEBRING, FL, 33872 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-06-06 | 105 E Stuart Ave, Lake Wales, FL 33853 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-06-06 | 105 E Stuart Ave, Lake Wales, FL 33853 | No data |
CHANGE OF MAILING ADDRESS | 2021-10-11 | 105 E Stuart Ave, Lake Wales, FL 33853 | No data |
REINSTATEMENT | 2016-10-10 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-10-10 | RICE ALVAREZ, MICHELLE, M.S.P.T | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-06-06 |
ANNUAL REPORT | 2024-01-22 |
ANNUAL REPORT | 2023-01-16 |
ANNUAL REPORT | 2022-03-08 |
AMENDED ANNUAL REPORT | 2021-10-11 |
ANNUAL REPORT | 2021-01-14 |
ANNUAL REPORT | 2020-03-29 |
ANNUAL REPORT | 2019-01-21 |
ANNUAL REPORT | 2018-03-04 |
ANNUAL REPORT | 2017-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State