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NEW SMYRNA BEACH PHYSICAL THERAPY LLC

Company Details

Entity Name: NEW SMYRNA BEACH PHYSICAL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jul 2021 (4 years ago)
Document Number: L21000328509
FEI/EIN Number 87-1750758
Address: 701 E 3RD AVENUE, UNIT #6, NEW SMYRNA BEACH, FL, 32169
Mail Address: 701 E 3RD AVENUE, UNIT #6, NEW SMYRNA BEACH, FL, 32169
ZIP code: 32169
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639845282 2021-08-23 2022-07-27 701 E 3RD AVE UNIT 6, NEW SMYRNA BEACH, FL, 321693104, US 701 E 3RD AVE UNIT 6, NEW SMYRNA BEACH, FL, 321693104, US

Contacts

Phone +1 386-957-3902
Fax 3862329761

Authorized person

Name ALLYSON KIGHT
Role OWNER
Phone 7034897597

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
KIGHT ALLYSON Agent 701 E 3RD AVENUE, NEW SMYRNA BEACH, FL, 32169

Member

Name Role Address
KIGHT ALLYSON Member 701 E 3RD AVENUE, UNIT #6, NEW SMYRNA BEACH, FL, 32169
VAZ RICARDO Member 701 E 3RD AVENUE, UNIT #6, NEW SMYRNA BEACH, FL, 32169

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-24
Florida Limited Liability 2021-07-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State