| Entity Name: | MAGNA PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Dec 2020 (4 years ago) |
| Document Number: | L20000384308 |
| FEI/EIN Number | 85-4286195 |
| Address: | 7419 Big Cypress Dr, Miami Lakes, FL, 33014, US |
| Mail Address: | 7419 Big Cypress Dr, Miami Lakes, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225624117 | 2020-12-15 | 2020-12-15 | 7419 BIG CYPRESS DR, MIAMI LAKES, FL, 330142506, US | 7419 BIG CYPRESS DR, MIAMI LAKES, FL, 330142506, US | |||||||||||||
|
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| Phone | +1 305-776-2084 |
Authorized person
| Name | DR. JAVIER ENRIQUE GONZALEZ |
| Role | PHYSICAL THERAPIST |
| Phone | 3057762084 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BELLO JOEL ESQ. | Agent | 14 NE 1 AVENUE, MIAMI, FL, 33132 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Javier E | Manager | 7419 Big Cypress Dr, Miami Lakes, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000088857 | DEIA PEDIATRIC THERAPY | ACTIVE | 2022-07-28 | 2027-12-31 | No data | 7419 BIG CYPRESS DR, MIAMI LAKES, FL, 33014 |
| G21000051686 | PRIVATE LINE THERAPY | ACTIVE | 2021-04-14 | 2026-12-31 | No data | 2332 GALIANO STREET, 2ND FLOOR, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 7419 Big Cypress Dr, Miami Lakes, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 7419 Big Cypress Dr, Miami Lakes, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-09 |
| AMENDED ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-14 |
| Florida Limited Liability | 2020-12-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
