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SHE PHYSICAL THERAPY, LLC

Company Details

Entity Name: SHE PHYSICAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 May 2020 (5 years ago)
Document Number: L20000142309
FEI/EIN Number 85-1165044
Address: 5220 South University Drive, DAVIE, FL, 33328, US
Mail Address: 13120 Parkside Terrace, Cooper City, FL, 33330, US
ZIP code: 33328
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649894155 2020-05-31 2023-12-04 5220 S UNIVERSITY DR # C209, DAVIE, FL, 333285317, US 14702 VISTA LUNA DR, DAVIE, FL, 333256926, US

Contacts

Phone +1 954-406-8998
Fax 7549003098
Phone +1 954-914-3044

Authorized person

Name DR. LAUREN DELA CRUZ
Role PHYSICAL THERAPIST
Phone 9549143044

Taxonomy

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

Agent

Name Role Address
DELA CRUZ LAUREN Agent 13120 Parkside Terrace, Cooper City, FL, 33330

Auth

Name Role Address
DELA CRUZ LAUREN Auth 13120 Parkside Terrace, Cooper City, FL, 33330

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-12 5220 South University Drive, C209, DAVIE, FL 33328 No data
CHANGE OF MAILING ADDRESS 2024-03-12 5220 South University Drive, C209, DAVIE, FL 33328 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-12 13120 Parkside Terrace, Cooper City, FL 33330 No data

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-02-21
Florida Limited Liability 2020-05-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State