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CORAL GABLES PHYSICAL THERAPY L.L.C.

Company Details

Entity Name: CORAL GABLES PHYSICAL THERAPY L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Nov 2019 (5 years ago)
Document Number: L19000288648
FEI/EIN Number 84-4560781
Address: 4110 Aurora Street, Coral Gables, FL, 33146, US
Mail Address: PO BOX 331912, MIAMI, FL, 33233, US
ZIP code: 33146
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467060939 2020-07-21 2024-07-09 PO BOX 331912, MIAMI, FL, 332331912, US 4110 AURORA ST, CORAL GABLES, FL, 331461416, US

Contacts

Phone +1 305-722-0568
Fax 3054461565

Authorized person

Name MR. RONALD YACOUB
Role OWNER
Phone 3057220568

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role
AGE RE SERVICES, LLC Agent

Manager

Name Role Address
PINECREST PHYSICAL THERAPY HOLDINGS, L.L.C Manager 4405 SW 74th Ave, Miami, FL, 33155

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-16 4110 Aurora Street, Coral Gables, FL 33146 No data
CHANGE OF MAILING ADDRESS 2020-09-29 4110 Aurora Street, Coral Gables, FL 33146 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-03-26
Florida Limited Liability 2019-11-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State