| Entity Name: | MAXWELLNESS PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MAXWELLNESS PHYSICAL THERAPY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 May 2014 (11 years ago) |
| Document Number: | L14000070801 |
| FEI/EIN Number |
46-5551950
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 18600 NW 87th Ave, Miami, FL, 33015, US |
| Mail Address: | 18600 nw 87th ave, miami, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881083475 | 2015-01-20 | 2020-07-20 | 18600 NW 87TH AVE UNIT 126, HIALEAH, FL, 330153536, US | 18600 NW 87TH AVE UNIT 126, HIALEAH, FL, 330153536, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-869-4310 |
| Fax | 9548694313 |
Authorized person
| Name | MR. JEAN PASCAL PRADEL |
| Role | PHYSICAL THERAPY DIRECTOR |
| Phone | 9545583462 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT20304 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | PT20304 |
| State | FL |
| Issuer | MEDICAID |
| Number | 890766800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PRADEL JEAN P | Authorized Member | 20025 NW 65 CT, HIALEAH, FL, 33015 |
| Pradel Jean P | Agent | 20025 NW 65 CT, HIALEAH, FL, 33015 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000125755 | PHYSICAL THERAPY NOW MIRAMAR | ACTIVE | 2019-11-25 | 2029-12-31 | - | 18600 NW 87TH AVE, UNIT126, HIALEAH, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-03 | 18600 NW 87th Ave, unit 126, Miami, FL 33015 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-06 | 18600 NW 87th Ave, unit 126, Miami, FL 33015 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-28 | 18600 NW 87th Ave, unit 126, Miami, FL 33015 | - |
| REGISTERED AGENT NAME CHANGED | 2015-05-07 | Pradel, Jean Pascal | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-05-07 | 20025 NW 65 CT, HIALEAH, FL 33015 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-03-02 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
