Detail by Entity Name

Florida Profit Corporation

AGEWELL SOUTH PHYSICAL THERAPY AND WELLNESS, P.A.

Filing Information
P11000026064 45-0677895 03/08/2011 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2020 NONE
Principal Address
5994 SW 18th Street D7
Boca Raton, FL 33433

Changed: 04/05/2019
Mailing Address
1999 Marcus Ave
Suite M15
Lake Success, NY 11042

Changed: 04/05/2019
Registered Agent Name & Address Mr.
5994 SW 18th Street D7
Boca Raton, FL 33433

Name Changed: 01/11/2018

Address Changed: 04/05/2019
Officer/Director Detail Name & Address

Title MR.

HERBRICH, MARK A
1999 Marcus Ave
Suite M15
Lake Success, NY 11042

Title MR.

DRAGAN, JOHN J
1999 Marcus Ave
Suite M15
Lake Success, NY 11042

Annual Reports
Report YearFiled Date
2017 01/11/2018
2018 01/11/2018
2019 04/05/2019