| Entity Name: | FORGED PERFORMANCE AND REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2017 (7 years ago) |
| Document Number: | L17000226500 |
| FEI/EIN Number | 82-3306899 |
| Address: | 5153 COCOPLUM AVENUE, MELBOURNE, FL, 32940, US |
| Mail Address: | 5153 COCOPLUM AVENUE, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326504614 | 2019-02-12 | 2019-02-12 | 5153 COCOPLUM AVE, MELBOURNE, FL, 329401400, US | 5153 COCOPLUM AVE, MELBOURNE, FL, 329401400, US | |||||||||||||||||||||
|
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| Phone | +1 321-271-5403 |
Authorized person
| Name | MIGUEL URENA |
| Role | PHYSICAL THERAPIST/OWNER |
| Phone | 3212715403 |
Taxonomy
| Taxonomy Code | 2251G0304X - Geriatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 2251S0007X - Sports Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| URENA MIGUEL | Agent | 5153 COCOPLUM AVENUE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| URENA MIGUEL | Manager | 5153 COCO PLUM AVENUE, MELBOURE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 5153 COCOPLUM AVENUE, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-02 | 5153 COCOPLUM AVENUE, MELBOURNE, FL 32940 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-02 | 5153 COCOPLUM AVENUE, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| AMENDED ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-05-29 |
| Florida Limited Liability | 2017-11-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
