| Entity Name: | WELLS PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 May 2011 (14 years ago) |
| Document Number: | L11000052560 |
| FEI/EIN Number | 452152060 |
| Address: | 18 Deanna Dr, ST AUGUSTINE BEACH, FL, 32080, US |
| Mail Address: | 18 Deanna Dr, ST AUGUSTINE BEACH, FL, 32080, US |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780924159 | 2013-02-22 | 2020-01-30 | 15569 VALLECAS LN, NAPLES, FL, 341102829, US | 15569 VALLECAS LN, NAPLES, FL, 341102829, US | |||||||||||||||||||||||
|
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| Phone | +1 904-568-1156 |
Authorized person
| Name | DR. SEAN M WELLS |
| Role | OWNER AND PT |
| Phone | 9045681156 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | ATHLETIC TRAINER |
| Number | AL4777 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WELLS SEAN MDr. | Agent | 18 Deanna Dr, ST AUGUSTINE BEACH, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| WELLS SEAN MDr. | Manager | 18 Deanna Dr, ST AUGUSTINE BEACH, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-15 | 18 Deanna Dr, ST AUGUSTINE BEACH, FL 32080 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 18 Deanna Dr, ST AUGUSTINE BEACH, FL 32080 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 18 Deanna Dr, ST AUGUSTINE BEACH, FL 32080 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-21 | WELLS, SEAN M, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
