| Entity Name: | BRIGHTSIDE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Apr 2021 (4 years ago) |
| Document Number: | L21000181277 |
| FEI/EIN Number | 86-3581417 |
| Address: | 535 ASTER DR., DAVENPORT, FL, 33897 |
| Mail Address: | 535 ASTER DR., DAVENPORT, FL, 33897 |
| ZIP code: | 33897 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174197073 | 2021-05-14 | 2023-12-07 | 7512 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338843200, US | 7512 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338843200, US | |||||||||||||||||||||||
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| Fax | 3527176829 |
| Phone | +1 321-337-6243 |
Authorized person
| Name | ISABELLA MARTINEZ |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 3213376243 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ ISABELLA | Agent | 535 ASTER DR, DAVENPORT, FL, 33897 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ ISABELLA | Authorized Representative | 535 ASTER DR, DAVENPORT, FL, 33897 |
| Name | Role | Address |
|---|---|---|
| Uribe Lopez Camilo | Officer | 535 ASTER DR., DAVENPORT, FL, 33897 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-19 |
| AMENDED ANNUAL REPORT | 2022-12-15 |
| ANNUAL REPORT | 2022-04-05 |
| Florida Limited Liability | 2021-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
