| Entity Name: | LIVING LARGE THERAPEUTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 May 2006 (19 years ago) |
| Document Number: | L06000046341 |
| FEI/EIN Number | 204810723 |
| Address: | 712 KANUGA DR, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 712 Kanuga Drive, WEST PALM BEACH, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093948135 | 2009-08-24 | 2009-08-24 | PO BOX 1311, WEST PALM BEACH, FL, 334021311, US | 718 KANUGA DR, WEST PALM BEACH, FL, 334017222, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-762-3105 |
Authorized person
| Name | MRS. EMILY LARGE |
| Role | P.T. |
| Phone | 5617623105 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT19954 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI NUMBER |
| Number | 1992870059 |
| State | FL |
| Issuer | MEDICARE IDENTIFICATION NUMBER |
| Number | Y0899B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LARGE EMILY S | Agent | 712 KANUGA DR, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| LARGE EMILY S | Managing Member | 712 KANUGA DR, WEST PALM BEACH, FL, 33401 |
| LARGE STEVEN N | Managing Member | 712 KANUGA DR, WEST PALM BEACH, FL, 33401 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000029279 | LESTER & LARGE | ACTIVE | 2021-03-02 | 2026-12-31 | No data | 712 KANUGA DRIVE, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-03 | 712 KANUGA DR, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-03 | 712 KANUGA DR, WEST PALM BEACH, FL 33401 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-03 | 712 KANUGA DR, WEST PALM BEACH, FL 33401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-02-09 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
