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KEY BISCAYNE PHYSICAL THERAPY L.L.C.

Company Details

Entity Name: KEY BISCAYNE PHYSICAL THERAPY L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
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: L17000187289
FEI/EIN Number 453136188
Mail Address: PO BOX 331931, MIAMI, FL, 33233, US
Address: 240 CRANDON BLVD #202, KEY BISCAYNE, FL, 33149, US
ZIP code: 33149
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700153988 2011-11-16 2022-07-25 PO BOX 331931, MIAMI, FL, 33233, US 240 CRANDON BLVD, SUITE 202, KEY BISCAYNE, FL, 331491543, US

Contacts

Phone +1 305-722-0568
Fax 3056700899
Fax 3057220569

Authorized person

Name MR. RONALD R YACOUB
Role PRESIDENT
Phone 3053021828

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary No
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 MAILING ADDRESS 2023-04-21 240 CRANDON BLVD #202, KEY BISCAYNE, FL 33149 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 P11000072194. CONVERSION NUMBER 300000174233

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: 03 Feb 2025

Sources: Florida Department of State