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GROVE PHYSICAL THERAPY L.L.C.

Company Details

Entity Name: GROVE PHYSICAL THERAPY L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Sep 2017 (7 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Oct 2017 (7 years ago)
Document Number: L17000187283
FEI/EIN Number 45-3136014
Address: 4405 SW 74th Ave, Miami, FL 33155
Mail Address: PO BOX 331932, MIAMI, FL 33233
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023391406 2011-09-22 2017-09-13 PO BOX 331932, MIAMI, FL, 33233, US 3315 RICE STREET, MIAMI, FL, 33133, US

Contacts

Phone +1 305-722-0568
Fax 3056700899
Phone +1 305-441-5258
Fax 3054415259

Authorized person

Name RONALD YACOUB
Role PRESIDENT
Phone 3057220568

Taxonomy

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

Agent

Name Role
AGE RE SERVICES, LLC Agent

Manager

Name Role
PINECREST PHYSICAL THERAPY HOLDINGS, LLC Manager

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-21 4405 SW 74th Ave, Miami, FL 33155 No data
CHANGE OF MAILING ADDRESS 2022-04-11 4405 SW 74th Ave, Miami, FL 33155 No data
LC AMENDMENT 2017-10-17 No data No data
CONVERSION 2017-09-01 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P11000072188. CONVERSION NUMBER 100000174231

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-02-16
LC Amendment 2017-10-17
Florida Limited Liability 2017-09-01

Date of last update: 18 Jan 2025

Sources: Florida Department of State