| Entity Name: | FUNCTIONAL THERAPY AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Mar 2020 (5 years ago) |
| Document Number: | L20000080026 |
| FEI/EIN Number | 85-0549385 |
| Address: | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
| Mail Address: | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144840414 | 2020-04-16 | 2020-04-27 | 2715 KNOX MCRAE DR, TITUSVILLE, FL, 327805113, US | 2715 KNOX MCRAE DR, TITUSVILLE, FL, 327805113, US | |||||||||||||
|
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| Phone | +1 321-202-3323 |
Authorized person
| Name | DR. SHANE H. ROSONINA |
| Role | DOCTOR OF PHYSICAL THERAPY |
| Phone | 3212023323 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| ROSONINA, SHANE H | Manager | 2715 KNOX MC RAE DRIVE, TITUSVILLE, FL 32780 |
| Name | Role | Address |
|---|---|---|
| ROSONINA, KAYLA B | Authorized Representative | 2715 KNOX MC RAE DRIVE, TITUSVILLE, FL 32780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| Florida Limited Liability | 2020-03-12 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
