| Entity Name: | EVOLUTION PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jul 2021 (4 years ago) |
| Document Number: | L21000321213 |
| FEI/EIN Number | 87-1839831 |
| Mail Address: | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 34135 |
| Address: | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194486142 | 2022-01-03 | 2022-01-03 | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 341359064, US | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 341359064, US | |||||||||||||
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| Phone | +1 205-566-3365 |
Authorized person
| Name | ARDALAN SADEGHI AMINI |
| Role | PT |
| Phone | 2055663365 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SADEGHI AMINI ARDALAN | Agent | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| SADEGHI AMINI ARDALAN | Authorized Member | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 34135 |
| VATANI MATIN | Authorized Member | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL, 34135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-08 | 28379 CAPTIVA SHELL LOOP, BONITA SPRINGS, FL 34135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-02-07 |
| Florida Limited Liability | 2021-07-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
