| Entity Name: | PHYZIOPRO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2019 (5 years ago) |
| Document Number: | L19000305984 |
| FEI/EIN Number | 84-3989308 |
| Address: | 111 SHAMROCK BLVD, VENICE, FL, 34293 |
| Mail Address: | 111 SHAMROCK BLVD, VENICE, FL, 34293 |
| ZIP code: | 34293 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902496318 | 2021-01-20 | 2021-09-01 | 111 SHAMROCK BLVD, VENICE, FL, 342931630, US | 111 SHAMROCK BLVD, VENICE, FL, 342931630, US | |||||||||||||||
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| Phone | +1 941-303-5630 |
| Fax | 9413035630 |
Authorized person
| Name | SAMUEL MAHROUS |
| Role | OWNER |
| Phone | 9413035630 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAHROUS SAMUEL | Agent | 8451 WOODBRIAR DR, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| MAHROUS SAMUEL | Manager | 8451 WOODBRIAR DR, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| Samuel Mahrous | Authorized Representative | 111 SHAMROCK BLVD, VENICE, FL, 34293 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-24 |
| Florida Limited Liability | 2019-12-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
