| Entity Name: | EXCELLENCE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Sep 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Jan 2021 (4 years ago) |
| Document Number: | L19000236893 |
| FEI/EIN Number | 84-3232734 |
| Address: | 2211 SOUTH HIGHWAY 77, 200, LYNN HAVEN, FL 32444 |
| Mail Address: | 2211 SOUTH HIGHWAY 77, 200, LYNN HAVEN, FL 32444 |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679109953 | 2020-03-18 | 2020-03-18 | 2211 S HIGHWAY 77 STE 201, LYNN HAVEN, FL, 324444641, US | 2211 S HIGHWAY 77 STE 201, LYNN HAVEN, FL, 324444641, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-252-1414 |
Authorized person
| Name | RATI PORIYA |
| Role | OWNER |
| Phone | 2819086480 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PORIYA, RATI | Authorized Member | 2211 SOUTH HIGHWAY 77, UNIT 200, LYNN HAVEN, FL 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| REINSTATEMENT | 2021-01-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-29 | 2211 SOUTH HIGHWAY 77, 200, LYNN HAVEN, FL 32444 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-29 | 2211 SOUTH HIGHWAY 77, 200, LYNN HAVEN, FL 32444 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-29 | UNITED STATES CORPORATION AGENTS, INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-04-21 |
| AMENDED ANNUAL REPORT | 2021-05-02 |
| REINSTATEMENT | 2021-01-29 |
| Florida Limited Liability | 2019-09-19 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
