| Entity Name: | GOOD SAMARITAN PHYSIO-THERAPY,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Apr 2014 (11 years ago) |
| Document Number: | L14000062764 |
| FEI/EIN Number | 47-2895940 |
| Address: | 2393 South Congress Ave, West Palm Beach, FL, 33406, US |
| Mail Address: | 5055 Northern Lights, Greenacres, FL, 33463, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942793807 | 2018-06-14 | 2019-07-15 | 5055 NORTHERN LIGHTS DR, GREENACRES, FL, 334632037, US | 2393 SOUTH CONGRESS AVE SUITE 125, WEST PALM BEACH, FL, 33406, US | |||||||||||||||||||||||||
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| Phone | +1 561-808-3030 |
| Phone | +1 561-253-6382 |
| Fax | 5612530437 |
Authorized person
| Name | EMMANUEL DANIEL BENONY |
| Role | CLINICAL DIRECTOR |
| Phone | 5618083030 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT27961 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BENONY EMMANUEL D | Agent | 5055 Northern Lights, Greenacres, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| BENONY EMMANUEL | Manager | 5055 Northern Lights Dr, Greenacres, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| BENONY MARGARETH S | Authorized Person | 5055 Northern Lights Dr, Greenacres, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-26 | 2393 South Congress Ave, Suite 125, West Palm Beach, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-26 | 2393 South Congress Ave, Suite 125, West Palm Beach, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-26 | 5055 Northern Lights, Greenacres, FL 33463 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
