| Entity Name: | MYOACTIVE REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Jan 2017 (8 years ago) |
| Document Number: | L17000002325 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 200 NW 136th Ave, MIAMI, FL, 33182, US |
| Mail Address: | 200 NW 136th Ave, MIAMI, FL, 33182, US |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659991339 | 2020-04-22 | 2021-05-20 | 2825 SW 145TH AVE, MIAMI, FL, 331757442, US | 2786 NW 79TH AVE, DORAL, FL, 331221067, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-281-5124 |
| Fax | 3059607629 |
Authorized person
| Name | DR. JAVIER BUSUTIL |
| Role | OWNER |
| Phone | 3052815124 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225400000X - Rehabilitation Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BUSUTIL JAVIER | Agent | 200 NW 136th Ave, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| BUSUTIL JAVIER | Manager | 200 NW 136th Ave, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| Busutil Elizabeth E | Auth | 200 NW 136th Ave, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-06 | 200 NW 136th Ave, MIAMI, FL 33182 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-06 | 200 NW 136th Ave, MIAMI, FL 33182 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 200 NW 136th Ave, MIAMI, FL 33182 | No data |
| LC AMENDMENT | 2017-01-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| AMENDED ANNUAL REPORT | 2023-08-30 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-05-07 |
| LC Amendment | 2017-01-11 |
| Florida Limited Liability | 2017-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
