| Entity Name: | PHYSICAL THERAPY NOW PALMETTO BAY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Oct 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Oct 2024 (4 months ago) |
| Document Number: | L21000435025 |
| FEI/EIN Number | 87-3292248 |
| Address: | 14869 SOUTH DIXIE HIGHWAY, MIAMI, FL, 33176 |
| Mail Address: | 14869 SOUTH DIXIE HIGHWAY, MIAMI, FL, 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497410815 | 2021-11-01 | 2024-02-13 | 12277 SW 130TH ST, MIAMI, FL, 331866218, US | 14869 S DIXIE HWY, PALMETTO BAY, FL, 331767928, US | |||||||||||||||||||||||
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| Phone | +1 305-470-9399 |
| Fax | 3052030546 |
| Phone | +1 305-570-1666 |
Authorized person
| Name | ANDRES ZAPATA |
| Role | OWNER |
| Phone | 3052445883 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | OT11471 |
| State | FL |
| Name | Role |
|---|---|
| MVG MANAGEMENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ULTIMATE PRO HOLDINGS LLC | Authorized Member | 8 THE GREEN #20341, DOVER, DE, 19901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-14 | No data | No data |
| LC AMENDMENT | 2023-12-13 | No data | No data |
| LC AMENDMENT | 2023-06-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-06-13 | MVG MANAGEMENT LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 14869 SOUTH DIXIE HWY, PALMETTO BAY, FL 33176 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-14 |
| ANNUAL REPORT | 2024-03-26 |
| LC Amendment | 2023-12-13 |
| LC Amendment | 2023-06-13 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-05-23 |
| Florida Limited Liability | 2021-10-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
