| Entity Name: | PHOENIX PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2019 (6 years ago) |
| Document Number: | L19000127334 |
| FEI/EIN Number | 84-1858501 |
| Address: | 15202 NW 147TH DRIVE, SUITE 1200-228, ALACHUA, FL, 32615, US |
| Mail Address: | 15202 NW 147TH DRIVE, SUITE 1200-228, ALACHUA, FL, 32615, US |
| ZIP code: | 32615 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609436997 | 2019-06-18 | 2019-07-13 | 507 NW 60TH ST STE A, GAINESVILLE, FL, 326076027, US | 507 NW 60TH ST STE A, GAINESVILLE, FL, 326076027, US | |||||||||||||
|
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| Phone | +1 808-563-0834 |
Authorized person
| Name | ROBIN TOMLIN |
| Role | OWNER, PHYSICAL THERAPIST |
| Phone | 3525860388 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOMLIN ROBIN | Agent | 15202 NW 147TH DRIVE, SUITE 1200-228, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| TOMLIN ROBIN | Manager | 15202 NW 147th Dr, SUITE 1200-228, Alachua, FL, 32615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-19 | 15202 NW 147TH DRIVE, SUITE 1200-228, ALACHUA, FL 32615 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-15 | 15202 NW 147TH DRIVE, SUITE 1200-228, ALACHUA, FL 32615 | No data |
| CHANGE OF MAILING ADDRESS | 2019-11-15 | 15202 NW 147TH DRIVE, SUITE 1200-228, ALACHUA, FL 32615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-28 |
| ANNUAL REPORT | 2020-01-19 |
| Florida Limited Liability | 2019-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
