| Entity Name: | PALM BEACH PHYSICAL THERAPY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Mar 2021 (4 years ago) |
| Document Number: | L21000108402 |
| FEI/EIN Number | 86-2447617 |
| Address: | 190 Spyglass Lane, Jupiter, FL, 33477, US |
| Mail Address: | 190 Spyglass Lane, Jupiter, FL, 33477, US |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639764962 | 2021-03-08 | 2021-03-08 | 1981 SW AARON LN, PORT ST LUCIE, FL, 349532127, US | 3005 S CONGRESS AVE, BOYNTON BEACH, FL, 334269045, US | |||||||||||||||||
|
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| Phone | +1 772-342-3834 |
Authorized person
| Name | JUDY JACKSON |
| Role | DIRECTOR |
| Phone | 7723423834 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Gozzo Jonathan | Agent | 190 Spyglass Lane, Jupiter, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| Gozzo Jonathan | Manager | 190 Spyglass Lane, Jupiter, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 190 Spyglass Lane, Jupiter, FL 33477 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 190 Spyglass Lane, Jupiter, FL 33477 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-24 | Gozzo, Jonathan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 190 Spyglass Lane, Jupiter, FL 33477 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-04 |
| Florida Limited Liability | 2021-03-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
