| Entity Name: | ER & DC MCPHERSON HOLDINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jun 2018 (7 years ago) |
| Document Number: | L18000151392 |
| FEI/EIN Number | 83-0782631 |
| Address: | 6957 W. Broward Blvd., Plantation, FL 33317 |
| Mail Address: | 6957 W. Broward Blvd., Plantation, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891257986 | 2019-04-05 | 2019-04-05 | 6957 W BROWARD BLVD, PLANTATION, FL, 333172917, US | 6957 W BROWARD BLVD, PLANTATION, FL, 333172917, US | |||||||||||||||||||||||||
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| Phone | +1 954-261-3280 |
| Fax | 3052030546 |
Authorized person
| Name | MS. DONNA LEA FONDA |
| Role | CREDENTIALING MANAGER |
| Phone | 3055171219 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | PT19324 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCPHERSON, DEVONNE C | Agent | 6957 W. Broward Blvd., Plantation, FL 33317 |
| Name | Role | Address |
|---|---|---|
| MCPHERSON, DEVONNE | Manager | 6957 W. Broward Blvd., Plantation, FL 33317 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000117197 | PHYSICAL THERAPY NOW PLANTATION | ACTIVE | 2018-10-30 | 2028-12-31 | No data | 6957 W. BROWARD BLVD., PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-31 | 6957 W. Broward Blvd., Plantation, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-17 | 6957 W. Broward Blvd., Plantation, FL 33317 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-23 | 6957 W. Broward Blvd., Plantation, FL 33317 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-03-23 |
| Florida Limited Liability | 2018-06-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1309378304 | 2021-01-16 | 0455 | PPS | 6957 W Broward Blvd, Plantation, FL, 33317-2917 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9932547701 | 2020-05-01 | 0455 | PPP | 6957 W Broward Blvd, Plantation, FL, 33317-2917 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
