| Entity Name: | L'IMAGE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Feb 2021 (4 years ago) |
| Document Number: | L21000042732 |
| FEI/EIN Number | 86-1630379 |
| Address: | 5741 SW 109 AVE, DAVIE, FL, FL, 33328, US |
| Mail Address: | 5741 SW 109 AVE, DAVIE, FL, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659961647 | 2021-01-22 | 2021-01-22 | 5741 SW 109TH AVE, DAVIE, FL, 333286303, US | 5741 SW 109TH AVE, DAVIE, FL, 333286303, US | |||||||||||||
|
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| Phone | +1 954-261-5625 |
Authorized person
| Name | MRS. YVELISE PETIT STANLEY |
| Role | OWNER |
| Phone | 9542615625 |
Taxonomy
| Taxonomy Code | 2251G0304X - Geriatric Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STANLEY YVELISE | Agent | 5741 SW 109 AVE, DAVIE, FL |
| Name | Role | Address |
|---|---|---|
| STANLEY YVELISE | Authorized Member | 5741 SW 109 AVE, DAVIE, FL, FL, 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000020928 | L'IMAGE PHYSICAL THERAPY LLC | ACTIVE | 2021-02-11 | 2026-12-31 | No data | 5741 SW 109 AVE, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-02-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-23 |
| LC Amendment | 2021-02-22 |
| Florida Limited Liability | 2021-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
