Entity Name: | SPORTS CHIRO AND REHAB LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 16 Oct 2017 (7 years ago) |
Last Event: | LC AMENDMENT AND NAME CHANGE |
Event Date Filed: | 02 Nov 2017 (7 years ago) |
Document Number: | L17000213844 |
FEI/EIN Number | 82-3094384 |
Mail Address: | 4830 W Sterling Ranch Cir, Davie, FL, 33314, US |
Address: | 5400 S University Dr, DAVIE, FL, 33328, US |
ZIP code: | 33328 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669984977 | 2017-10-26 | 2019-05-01 | 5400 S UNIVERSITY DR STE 603, DAVIE, FL, 333285314, US | 5400 S UNIVERSITY DR STE 603, DAVIE, FL, 333285314, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 954-900-2942 |
Fax | 9544513948 |
Authorized person
Name | KIM TESTA |
Role | OFFICE MANAGER |
Phone | 9544513946 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH9220 |
State | FL |
Is Primary | No |
Taxonomy Code | 171100000X - Acupuncturist |
Is Primary | No |
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | No |
Taxonomy Code | 225700000X - Massage Therapist |
Is Primary | No |
Name | Role | Address |
---|---|---|
TESTA ALAN D | Agent | 4830 W Sterling Ranch Cir, Davie, FL, 33314 |
Name | Role | Address |
---|---|---|
TESTA ALAN D | Manager | 4830 W Sterling Ranch Cir, Davie, FL, 33314 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-04-22 | 5400 S University Dr, Suite 603, DAVIE, FL 33328 | No data |
CHANGE OF MAILING ADDRESS | 2018-05-03 | 5400 S University Dr, Suite 603, DAVIE, FL 33328 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-05-03 | 4830 W Sterling Ranch Cir, Davie, FL 33314 | No data |
LC AMENDMENT AND NAME CHANGE | 2017-11-02 | SPORTS CHIRO AND REHAB LLC | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-12-20 |
ANNUAL REPORT | 2024-04-15 |
ANNUAL REPORT | 2023-04-10 |
ANNUAL REPORT | 2022-03-16 |
ANNUAL REPORT | 2021-02-01 |
ANNUAL REPORT | 2020-06-23 |
AMENDED ANNUAL REPORT | 2019-04-24 |
ANNUAL REPORT | 2019-04-22 |
ANNUAL REPORT | 2018-05-03 |
LC Amendment and Name Change | 2017-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State