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PHYSICAL THERAPY AND WELLNESS, LLC

Company Details

Entity Name: PHYSICAL THERAPY AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 22 Jan 2015 (10 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L15000011952
FEI/EIN Number 47-3022931
Address: 4421 PARK BLVD, PINELLAS PARK, FL 33781
Mail Address: 4421 PARK BLVD, PINELLAS PARK, FL 33781
ZIP code: 33781
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326431461 2015-03-13 2015-03-13 4421 PARK BLVD N, PINELLAS PARK, FL, 337813540, US 4421 PARK BLVD N, PINELLAS PARK, FL, 337813540, US

Contacts

Phone +1 727-767-0470
Fax 7277670471

Authorized person

Name ESTHER SANTANA
Role CEO
Phone 3053387401

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number PT25404
State FL
Is Primary Yes

Agent

Name Role Address
SANTANA, ESTHER Agent 4421 PARK BLVD, PINELLAS PARK, FL 33781

Managing Member

Name Role Address
SANTANA, ESTHER Managing Member 4421 PARK BLVD, PINELLAS PARK, FL 33781

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2017-05-01 SANTANA, ESTHER No data
LC DISSOCIATION MEM 2016-07-25 No data No data

Documents

Name Date
ANNUAL REPORT 2020-05-25
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-05-01
CORLCDSMEM 2016-07-25
ANNUAL REPORT 2016-04-16
Florida Limited Liability 2015-01-22

Date of last update: 21 Jan 2025

Sources: Florida Department of State