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RISING TIDE PHYSICAL THERAPY LLC

Company Details

Entity Name: RISING TIDE PHYSICAL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Aug 2021 (3 years ago)
Document Number: L21000389634
FEI/EIN Number 872367930
Address: 308 53RD AVE E, B, BRADENTON, FL, 34203, US
Mail Address: 109 LAUREL RD E, NOKOMIS, FL, 34275--225, UN
ZIP code: 34203
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902573942 2021-08-26 2021-08-26 109 LAUREL RD E, NOKOMIS, FL, 342755233, US 308 53RD AVE E STE B, BRADENTON, FL, 342034706, US

Contacts

Phone +1 941-739-0019

Authorized person

Name KEN TRIBIT
Role MGMR
Phone 9417061230

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
TRIBIT KENNETH Agent 109 LAUREL RD E, NOKOMIS, FL, 34275

Manager

Name Role Address
TRIBIT KENNETH Manager 109 LAUREL RD E, NOKOMIS, FL, 34275-225
JORDAN JUSTIN Manager 109 LAUREL RD E, NOKOMIS, FL, 34275-225

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-03-08
Florida Limited Liability 2021-08-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State