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THERACAVE PHYSICAL THERAPY PLLC

Company Details

Entity Name: THERACAVE PHYSICAL THERAPY PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Apr 2021 (4 years ago)
Document Number: L21000174917
FEI/EIN Number 86-6443283
Address: 1 E Broward Blvd, 700, 4, Fort Lauderdale, FL 33301
Mail Address: 1 E Broward Blvd, 700, Fort Lauderdale, FL 33301
ZIP code: 33301
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770150096 2021-06-06 2024-01-24 1 E BROWARD BLVD STE 700, FORT LAUDERDALE, FL, 333011876, US 1 E BROWARD BLVD STE 700, FORT LAUDERDALE, FL, 333011876, US

Contacts

Phone +1 607-222-8794

Authorized person

Name HESHAM H ABDEL-SALAM
Role OWNER/PT
Phone 9542840716

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
ABDEL-SALAM, HESHAM, PT Agent 1 E Broward Blvd, 700, Fort Lauderdale, FL 33301

Authorized Person

Name Role Address
Abdel-Salam, Hesham Authorized Person 2016 NE 17th CT, APT#1 Fort Lauderdale, FL 33305

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-11 1 E Broward Blvd, 700, 4, Fort Lauderdale, FL 33301 No data
CHANGE OF MAILING ADDRESS 2024-03-11 1 E Broward Blvd, 700, 4, Fort Lauderdale, FL 33301 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-11 1 E Broward Blvd, 700, Fort Lauderdale, FL 33301 No data
REGISTERED AGENT NAME CHANGED 2022-04-14 ABDEL-SALAM, HESHAM, PT No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-14
Florida Limited Liability 2021-04-15

Date of last update: 13 Feb 2025

Sources: Florida Department of State