| Entity Name: | PHYSICAL THERAPY NOW BRICKELL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Oct 2021 (3 years ago) |
| Document Number: | L21000435040 |
| FEI/EIN Number | 87-3218846 |
| Address: | 42 SW 6TH ST, MIAMI, FL, 33130 |
| Mail Address: | 12277 SW 130 STREET, MIAMI, FL, 33186, UN |
| ZIP code: | 33130 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558035691 | 2021-08-03 | 2024-04-22 | 12277 SW 130TH ST, MIAMI, FL, 331866218, US | 42 SW 6TH ST, MIAMI, FL, 331303008, US | |||||||||||||||||||||||||||
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| Phone | +1 305-517-1219 |
| Fax | 3052030546 |
| Phone | +1 305-570-1666 |
Authorized person
| Name | ANDRES ZAPATA |
| Role | OWNER |
| Phone | 3052445883 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICSL LICENSE |
| Number | OT11471 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZAPATA ANDRES | Agent | 12277 SW 130 STREET, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| ZAPATA ANDRES | Manager | 12277 SW 130 STREET, MIAMI, FL, 33186 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-05-23 |
| Florida Limited Liability | 2021-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
