| Entity Name: | PINECREST PT- DAVIE L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jan 2018 (7 years ago) |
| Document Number: | L18000025700 |
| FEI/EIN Number | 824357747 |
| Address: | 4405 SW 74th Ave, Miami, FL, 33155, US |
| Mail Address: | PO BOX 331922, Miami, FL, 33233, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902300379 | 2018-03-21 | 2020-07-21 | PO BOX 331922, MIAMI, FL, 332331922, US | 4900 S UNIVERSITY DR STE 106, DAVIE, FL, 333283809, US | |||||||||||||||||
|
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| Phone | +1 305-722-0568 |
Authorized person
| Name | MR. RONALD RANI YACOUB |
| Role | OWNER |
| Phone | 3057220568 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT18067 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AGE RE SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| PINECREST PHYSICAL THERAPY HOLDINGS, L.L.C | Manager | 4405 SW 74th Ave, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 4405 SW 74th Ave, Miami, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-21 | 4405 SW 74th Ave, Miami, FL 33155 | No data |
| 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 |
| Florida Limited Liability | 2018-01-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
