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CLINICAL FITNESS 101 CORP - Florida Company Profile

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Company Details

Entity Name: CLINICAL FITNESS 101 CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jan 2023 (3 years ago)
Document Number: P23000007581
FEI/EIN Number 92-2078076
Address: 3344 GONDOLIER WAY, LAKE WORTH, FL, 33462, US
Mail Address: 3344 GONDOLIER WAY, LAKE WORTH, FL, 33462, US
ZIP code: 33462
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MATTA JOSE L President 3344 GONDOLIER WAY, LAKE WORTH, FL, 33462
MATTA JOSE L Treasurer 3344 GONDOLIER WAY, LAKE WORTH, FL, 33462
MATTA JOSE L Agent 3344 GONDOLIER WAY, LAKE WORTH, FL, 33462

National Provider Identifier

NPI Number:
1457058802
Certification Date:
2023-05-22

Authorized Person:

Name:
DR. JOSE L MATTA
Role:
FOUNDER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
225200000X - Physical Therapy Assistant
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-24
Domestic Profit 2023-01-24

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Date of last update: 01 Aug 2025

Sources: Florida Department of State