| Entity Name: | FUNDAMENTAL THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
FUNDAMENTAL THERAPY INC is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Feb 2019 (6 years ago) |
| Document Number: | P19000017727 |
| FEI/EIN Number |
83-3803619
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4106 NORTH 48TH AVENUE, HOLLYWOOD, FL 33021 |
| Mail Address: | 4106 NORTH 48TH AVENUE, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922607845 | 2020-10-21 | 2020-10-21 | 4106 N 48TH AVE, HOLLYWOOD, FL, 330211735, US | 4106 N 48TH AVE, HOLLYWOOD, FL, 330211735, US | |||||||||||||||||||||||||
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| Phone | +1 954-648-7819 |
Authorized person
| Name | ANNIEL NAGLER |
| Role | OWNER |
| Phone | 9546487819 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000288300 |
| State | FL |
| Issuer | PHYSICAL THERAPY LICENSE |
| Number | PT20744 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NAGLER, ANNIEL | Agent | 4106 NORTH 48TH AVENUE, HOLLYWOOD, FL 33021 |
| NAGLER, ANNIEL | President | 4106 NORTH 48TH AVENUE, HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-07 | 4106 NORTH 48TH AVENUE, HOLLYWOOD, FL 33021 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-07 |
| Domestic Profit | 2019-02-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6888977808 | 2020-06-02 | 0455 | PPP | 4106 N 48TH AVE, HOLLYWOOD, FL, 33021-1735 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
