| Entity Name: | CLINICAL FITNESS 101 CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Jan 2023 (2 years ago) |
| Document Number: | P23000007581 |
| FEI/EIN Number | 92-2078076 |
| Address: | 3344 GONDOLIER WAY, LAKE WORTH, FL 33462 |
| Mail Address: | 3344 GONDOLIER WAY, LAKE WORTH, FL 33462 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457058802 | 2023-02-15 | 2023-05-22 | 3344 GONDOLIER WAY, LAKE WORTH, FL, 334623622, US | 3344 GONDOLIER WAY, LAKE WORTH, FL, 334623622, US | |||||||||||||||||
|
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| Phone | +1 561-247-0745 |
Authorized person
| Name | DR. JOSE L MATTA |
| Role | FOUNDER/CEO |
| Phone | 5612470745 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MATTA, JOSE L | Agent | 3344 GONDOLIER WAY, LAKE WORTH, FL 33462 |
| Name | Role | Address |
|---|---|---|
| MATTA, JOSE L | President | 3344 GONDOLIER WAY, LAKE WORTH, FL 33462 |
| Name | Role | Address |
|---|---|---|
| MATTA, JOSE L | Treasurer | 3344 GONDOLIER WAY, LAKE WORTH, FL 33462 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| Domestic Profit | 2023-01-24 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
