| Entity Name: | PRIME ORTHOPEDIC REHABILITATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2021 (4 years ago) |
| Document Number: | L21000083858 |
| FEI/EIN Number | 86-2150720 |
| Address: | 4065 YARMOUTH D, BOCA RATON, FL, 33434 |
| Mail Address: | 111 DEAN DR, SUITE 1N, TENAFLY, NJ, 07670 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023698537 | 2021-04-09 | 2021-04-09 | 111 DEAN DR, TENAFLY, NJ, 076702764, US | 4065 YARMOUTH D, BOCA RATON, FL, 334344544, US | |||||||||||||||||
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| Phone | +1 201-503-7173 |
| Fax | 2015037177 |
| Phone | +1 917-797-0583 |
Authorized person
| Name | MICHAL PORATH |
| Role | OWNER |
| Phone | 2015037173 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROMBERG ROBERT | Agent | 4065 YARMOUTH D, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| PORATH MICHAL | Authorized Member | 1122 ALLESSANDRINI AVE, NEW MILFORD, NJ, 07646 |
| LOWY JESSICA | Authorized Member | 19 REGENT ST, BERGENFIELD, NJ, 07621 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-06 |
| Florida Limited Liability | 2021-02-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
