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RENEWED PHYSICAL THERAPY LLC

Company Details

Entity Name: RENEWED PHYSICAL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Aug 2017 (7 years ago)
Document Number: L17000173574
FEI/EIN Number 82-2482530
Address: 17557 Claridge Oval West, Boca Raton, FL 33496
Mail Address: 11950 NW 6TH ST, PLANTATION, FL 33325
ZIP code: 33496
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114443876 2017-08-15 2018-03-13 11950 NW 6TH ST, PLANTATION, FL, 333251800, US 17557 CLARIDGE OVAL W, BOCA RATON, FL, 334961336, US

Contacts

Phone +1 954-609-6432

Authorized person

Name RICHARD EVANS
Role PRESIDENT
Phone 9544759734

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
EVANS, RICHARD A Agent 11950 NW 6TH ST, PLANTATION, FL 33325

Authorized Member

Name Role Address
EVANS, RICHARD A Authorized Member 11950 NW 6TH ST, PLANTATION, FL 33325

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-05-21 17557 Claridge Oval West, Boca Raton, FL 33496 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-05-21
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-04-16
Florida Limited Liability 2017-08-14

Date of last update: 18 Jan 2025

Sources: Florida Department of State