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ROAD TO REHABILITATION HOME THERAPY LLC

Company Details

Entity Name: ROAD TO REHABILITATION HOME THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jan 2022 (3 years ago)
Document Number: L22000049447
FEI/EIN Number 88-0728945
Address: 9703 Sandpiper Lane, Royal Palm Beach, FL, 33411, US
Mail Address: 9703 Sandpiper Lane, Royal Palm Beach, FL, 33411, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730875519 2023-04-13 2024-09-08 9703 SANDPIPER LN, WEST PALM BEACH, FL, 334116321, US 9703 SANDPIPER LN, WEST PALM BEACH, FL, 334116321, US

Contacts

Phone +1 561-385-5057

Authorized person

Name DR. MARCUS VINICIUS JACKOVITZ
Role PHYSICAL THERAPIST
Phone 5613037736

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
JACKOVITZ MARCUS VDR. Agent 9703 Sandpiper Lane, Royal Palm Beach, FL, 33411

Manager

Name Role Address
JACKOVITZ Marcus V Manager 93 Wynwood Dr, Enfield, CT, 06082
RIAZ TALHA Manager 9703 SANDPIPER LANE, ROYAL PALM BEACH, FL, 33411

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000131159 I-REFLEX ACTIVE 2023-10-24 2028-12-31 No data 9703 SANDPIPER LANE, WEST PALM BEACH, FL, 33411
G22000025208 R2 REHAB HOME THERAPY ACTIVE 2022-03-02 2027-12-31 No data 5385 GRAND PALM CIRCLE, DELRAY BEACH, FL, 33484

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-14 9703 Sandpiper Lane, Royal Palm Beach, FL 33411 No data
CHANGE OF MAILING ADDRESS 2023-03-14 9703 Sandpiper Lane, Royal Palm Beach, FL 33411 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-14 9703 Sandpiper Lane, Royal Palm Beach, FL 33411 No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-14
Florida Limited Liability 2022-01-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State