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PHYSIOACTIVE LLC

Company Details

Entity Name: PHYSIOACTIVE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Aug 2011 (13 years ago)
Document Number: L11000090035
FEI/EIN Number 452914022
Address: 19130 Two River Ln, Boca Raton, FL, 33498, US
Mail Address: 19130 Two River Ln, Boca Raton, FL, 33498, US
ZIP code: 33498
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831470483 2011-09-08 2013-04-17 22035 MARTELLA AVE, BOCA RATON, FL, 334334632, US 7700 CONGRESS AVE, SUITE 2102, BOCA RATON, FL, 334871352, US

Contacts

Phone +1 561-245-7418
Fax 5612457418
Phone +1 561-241-5499
Fax 5612415498

Authorized person

Name ROSSEANE V BRITO
Role SOLE PROPRIETOR
Phone 5612457418

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
BRITO ROSSEANE V Agent 19130 Two River Ln, Boca Raton, FL, 33498

Managing Member

Name Role Address
BRITO ROSSEANE V Managing Member 19130 Two River Ln, Boca Raton, FL, 33498

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-06-01 19130 Two River Ln, Boca Raton, FL 33498 No data
CHANGE OF MAILING ADDRESS 2024-06-01 19130 Two River Ln, Boca Raton, FL 33498 No data
REGISTERED AGENT ADDRESS CHANGED 2024-06-01 19130 Two River Ln, Boca Raton, FL 33498 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-01
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-04-09
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-03-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State