| Entity Name: | IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Aug 2020 (5 years ago) |
| Document Number: | P20000063934 |
| FEI/EIN Number | 85-2661984 |
| Address: | 8200 Southwest 117th Avenue, Suite 202, Miami, FL 33183 |
| Mail Address: | 8200 Southwest 117th Avenue, Suite 202, Miami, FL 33183 |
| ZIP code: | 33183 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750998746 | 2020-09-24 | 2020-09-24 | 6190 SW 116TH ST, PINECREST, FL, 331564957, US | 8200 SW 117TH AVE STE 300, MIAMI, FL, 331834826, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-205-4997 |
Authorized person
| Name | DR. JANELLE MARIE FLEITES |
| Role | OWNER |
| Phone | 7862054997 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLEITES, JANELLE M | Agent | 8200 Southwest 117th Avenue, Suite 202, Miami, FL 33183 |
| Name | Role | Address |
|---|---|---|
| FLEITES, JANELLE M | President | 8200 Southwest 117th Avenue, Suite 202 Miami, FL 33183 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-06 | 8200 Southwest 117th Avenue, Suite 202, Miami, FL 33183 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-06 | 8200 Southwest 117th Avenue, Suite 202, Miami, FL 33183 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-13 | 8200 Southwest 117th Avenue, Suite 202, Miami, FL 33183 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-21 |
| Domestic Profit | 2020-08-12 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
