| Entity Name: | AUTHENTIC REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Dec 2021 (3 years ago) |
| Document Number: | L21000517131 |
| FEI/EIN Number | 87-3983032 |
| Address: | 2844 SHAUGHNESSY DRIVE, WELLINGTON, FL, 33414, US |
| Mail Address: | 2844, SHAUGHNESSY DRIVE, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780345025 | 2022-01-09 | 2022-01-09 | 2844 SHAUGHNESSY DR, WELLINGTON, FL, 334146496, US | 2844 SHAUGHNESSY DR, WELLINGTON, FL, 334146496, US | |||||||||||||
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| Phone | +1 513-280-0662 |
Authorized person
| Name | SANDHYA KORIPALLI CHIRANJEEVI |
| Role | DOCTOR IN PHYSICAL THERAPY |
| Phone | 5132800662 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KORIPALLI CHIRANJEEVSANDHYA | Agent | 2844 SHAUGHNESSY DRIVE, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| KORIPALLI CHIRANJEEVSANDHYA | Authorized Representative | 2844 SHAUGHNESSY DRIVE, WELLINGTON, FL, 33414 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-09-03 |
| Florida Limited Liability | 2021-12-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
