| Entity Name: | AXISPRO PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2016 (9 years ago) |
| Document Number: | L16000048181 |
| FEI/EIN Number | 81-1777625 |
| Address: | 405 N. WICKHAM RD.,, MELBOURNE, FL, 32935, US |
| Mail Address: | 405 N. WICKHAM RD.,, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821443474 | 2016-05-02 | 2016-09-19 | 645 NEWPORT DR, INDIALANTIC, FL, 329034030, US | 405 N WICKHAM RD, SUITE 103, MELBOURNE, FL, 329358628, US | |||||||||||||||||
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| Phone | +1 321-802-3130 |
Authorized person
| Name | MACIEJ MOLIK |
| Role | OWNER/MANAGER |
| Phone | 3215142844 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT 27353 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOLIK MACIEJ | Agent | 405 N. Wickham Rd, Melbourne, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| MOLIK MACIEJ S | Manager | 405 N. WICKHAM RD.,, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-14 | 405 N. Wickham Rd, suite 103, Melbourne, FL 32903 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-04 | 405 N. WICKHAM RD.,, STE 103, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-04 | 405 N. WICKHAM RD.,, STE 103, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-03-14 |
| Florida Limited Liability | 2016-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
