| Entity Name: | MILLER PHYSICAL THERAPY AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Mar 2018 (7 years ago) |
| Document Number: | L18000058617 |
| FEI/EIN Number | 82-4772830 |
| Address: | 1811 W State Rd 434, Longwood, FL, 32750, US |
| Mail Address: | 1816 PALM LANE, ORLANDO, FL, 32803, US |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891317087 | 2020-05-11 | 2023-11-30 | 1811 W STATE ROAD 434, LONGWOOD, FL, 327505001, US | 1811 W STATE ROAD 434, LONGWOOD, FL, 327505001, US | |||||||||||||
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| Phone | +1 407-222-5038 |
Authorized person
| Name | DR. CHRISTOPHER MILLER |
| Role | OWNER/ PHYSICAL THERAPIST |
| Phone | 4072225038 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER CHRISTOPHER P | Agent | 1816 PALM LANE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| MILLER CHRISTOPHER P | Manager | 1816 PALM LANE, ORLANDO, FL, 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000092853 | FULL SWING PT AND GOLF | ACTIVE | 2023-08-09 | 2028-12-31 | No data | 1811 WEST STATE RD 434, LONGWOOD, FL, 32750 |
| G18000075189 | FULL SWING PHYSICAL THERAPY AND WELLNESS | EXPIRED | 2018-07-09 | 2023-12-31 | No data | 1816 PALM LN, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-11 | 1811 W State Rd 434, Longwood, FL 32750 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-11 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
