| Entity Name: | NEURO PHYSICAL THERAPY & SPORTS MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jun 2020 (5 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 12 Nov 2020 (4 years ago) |
| Document Number: | L20000149542 |
| FEI/EIN Number | 85-1367222 |
| Mail Address: | 322 NE 47TH PLACE, DEERFIELD BEACH, FL, 33064, US |
| Address: | 1840 N. Dixie Hwy, BOCA RATON, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518582816 | 2020-06-11 | 2024-02-18 | 322 NE 47TH PL, DEERFIELD BEACH, FL, 330644104, US | 1840 N DIXIE HWY, BOCA RATON, FL, 334321845, US | |||||||||||||||
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| Phone | +1 561-563-4846 |
| Fax | 5614674091 |
Authorized person
| Name | JUVY VILLANUEVA |
| Role | PHYSICAL THERAPIST |
| Phone | 5615634846 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA JUVY | Agent | 322 NE 47TH PLACE, DEERFIELD BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA JUVY | Manager | 322 NE 47TH PLACE, DEERFIELD BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC DISSOCIATION MEM | 2020-11-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-26 |
| CORLCDSMEM | 2020-11-12 |
| Florida Limited Liability | 2020-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
