| Entity Name: | MODERN MOVEMENT PHYSICAL THERAPY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jan 2021 (4 years ago) |
| Date of dissolution: | 10 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Apr 2023 (2 years ago) |
| Document Number: | L21000050559 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 8429 LORRAINE RD, #127, LAKEWOOD RANCH, FL, 34202, US |
| Mail Address: | 8429 LORRAINE RD, #127, LAKEWOOD RANCH, FL, 34202, US |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639695398 | 2017-08-15 | 2021-04-08 | 8429 LORRAINE RD # 127, LAKEWOOD RANCH, FL, 342029010, US | 18017 GAWTHROP DR, BRADENTON, FL, 34211, US | |||||||||||||||||||||||||||||
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| Phone | +1 917-416-2209 |
Authorized person
| Name | EUGENE BARSHAY |
| Role | PHYSICAL THERAPIST |
| Phone | 9174162209 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 031866 |
| State | NY |
| Is Primary | No |
| Taxonomy Code | 2251S0007X - Sports Physical Therapist |
| License Number | 031866 |
| State | NY |
| Is Primary | No |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARSHAY EUGENE | Agent | 8429 LORRAINE RD, LAKEWOOD RANCH, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| BARSHAY EUGENE | Authorized Member | 8429 Lorraine Road, Lakewood Ranch, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-10 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-10 |
| ANNUAL REPORT | 2022-04-25 |
| Florida Limited Liability | 2021-01-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
