Detail by Officer/Registered Agent Name

Florida Limited Liability Company

FUNCTIONAL PHYSICAL MEDICINE, LLC

Filing Information
L16000194146 81-4189870 10/20/2016 10/20/2016 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2020 NONE
Principal Address
920 FIRETREE ROAD
NORTH PALM BEACH, FL 33408
Mailing Address
920 FIRETREE ROAD
NORTH PALM BEACH, FL 33408
Registered Agent Name & Address RUST, NICHOLAS J, DR.
920 FIRETREE ROAD
NORTH PALM BEACH, FL 33408
Authorized Person(s) Detail Name & Address

Title CEO

RUST, NICHOLAS J, DR.
920 FIRETREE ROAD
NORTH PALM BEACH, FL 33408

Annual Reports
Report YearFiled Date
2017 03/05/2017
2018 02/21/2018
2019 03/22/2019