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HOUSE OF ATHLETE WESTON, LLC

Company Details

Entity Name: HOUSE OF ATHLETE WESTON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jul 2020 (5 years ago)
Document Number: L20000198363
FEI/EIN Number APPLIED FOR
Address: 1495 N PARK DR, WESTON, FL, 33326, US
Mail Address: 1495 N PARK DR, WESTON, FL, 33326, US
ZIP code: 33326
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548900137 2022-03-31 2022-03-31 6912 ASPHALT AVE, TAMPA, FL, 33614, US 6912 ASPHALT AVE, TAMPA, FL, 33614, US

Contacts

Phone +1 262-488-0118

Authorized person

Name VALERIE MCKAY
Role CREDENTIALING SPECIALIST
Phone 8136019036

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
Doris Bumbrey Agent 1495 N PARK DR, WESTON, FL, 33326

Managing Member

Name Role Address
BRANDON MARSHALL Managing Member 1495 N PARK DR, WESTON, FL, 33326

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-27 Doris, Bumbrey No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-27 1495 N PARK DR, WESTON, FL 33326 No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-21 1495 N PARK DR, WESTON, FL 33326 No data
CHANGE OF MAILING ADDRESS 2021-04-21 1495 N PARK DR, WESTON, FL 33326 No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-21
Florida Limited Liability 2020-07-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State