| Entity Name: | CONCIERGE PHYSIO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2019 (5 years ago) |
| Document Number: | L19000241445 |
| FEI/EIN Number | 84-3311795 |
| Address: | 708 3rd St N, Jacksonville Beach, FL, 32250, US |
| Mail Address: | 708 3rd St N, Jacksonville Beach, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013559632 | 2019-10-15 | 2022-08-26 | 708 3RD ST N, JACKSONVILLE BEACH, FL, 322507149, US | 708 3RD ST N, JACKSONVILLE BEACH, FL, 322507149, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 904-822-4622 |
| Fax | 9042012595 |
Authorized person
| Name | JONSON YOUSEFZADEH |
| Role | OWNER |
| Phone | 9042369809 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| YOUSEFZADEH JONSON | Agent | 758 Sandy Oaks Court, Ponte Vedra Beach, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| Yousefzadeh Jonson | Manager | 758 Sandy Oaks Court, Ponte Vedra Beach, FL, 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000008681 | DIRECT ORTHOPEDIC THERAPY | ACTIVE | 2020-01-19 | 2025-12-31 | No data | 2052 E CLOVELLY LN, SAINT AUGUSTINE, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 708 3rd St N, Jacksonville Beach, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 708 3rd St N, Jacksonville Beach, FL 32250 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-16 | 758 Sandy Oaks Court, Ponte Vedra Beach, FL 32082 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
