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PAL SPORTS MEDICINE, INC.

Company Details

Entity Name: PAL SPORTS MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Apr 1999 (26 years ago)
Document Number: P99000033089
FEI/EIN Number 650911360
Address: 704 WARREN DRIVE, JUPITER, FL, 33458, US
Mail Address: 704 WARREN DRIVE, JUPITER, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215903034 2006-02-23 2007-09-18 850 W INDIANTOWN RD, JUPITER, FL, 33458, US 850 W INDIANTOWN RD, JUPITER, FL, 33458, US

Contacts

Phone +1 561-746-4112
Fax 5615756738

Authorized person

Name MS. ALICIA T LAINE
Role ADMINISTRATOR
Phone 5617464112

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
LAINE PAUL RPT Agent 704 WARREN DRIVE, JUPITER, FL, 33458

President

Name Role Address
LAINE PAUL A President 704 WARREN DRIVE, JUPITER, FL, 33458

Vice President

Name Role Address
LAINE ALICIA Vice President 704 WARREN DRIVE, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-04-30 LAINE, PAUL, RPT No data
CHANGE OF PRINCIPAL ADDRESS 2013-04-30 704 WARREN DRIVE, JUPITER, FL 33458 No data
CHANGE OF MAILING ADDRESS 2013-04-30 704 WARREN DRIVE, JUPITER, FL 33458 No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-30 704 WARREN DRIVE, JUPITER, FL 33458 No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-15
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-29

Date of last update: 03 Feb 2025

Sources: Florida Department of State