| Entity Name: | NAU PHYSICAL THERAPY AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2016 (9 years ago) |
| Document Number: | L16000034699 |
| FEI/EIN Number | 81-1548848 |
| Address: | 8509 S US HIGHWAY 1, PORT SAINT LUCIE, FL, 34952, US |
| Mail Address: | 8509 S. US Hwy 1, PORT SAINT LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972967743 | 2016-04-07 | 2016-04-07 | 10023 S US HIGHWAY 1, SUITE A, PORT SAINT LUCIE, FL, 349525643, US | 10023 S US HIGHWAY 1, SUITE A, PORT SAINT LUCIE, FL, 349525643, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 772-342-1020 |
Authorized person
| Name | SOKUNTHEA NAU |
| Role | MANAGER |
| Phone | 7723421020 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | PT23414 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NAU SOKUNTHEA | Agent | 816 SW IDOL AVE, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| NAU SOKUNTHEA | Manager | 816 SW IDOL AVE, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| Nau Elizabeth | Auth | 816 SW Idol Ave, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-01 | 8509 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-01 | 8509 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-05-06 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-01 |
| Florida Limited Liability | 2016-02-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
