| Entity Name: | ANCIENT CITY MOBILE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2022 (3 years ago) |
| Document Number: | L22000072142 |
| FEI/EIN Number | 92-0466955 |
| Address: | 164 SPANISH MARSH DRIVE, SAINT AUGUSTINE, FL, 32095, US |
| Mail Address: | 164 SPANISH MARSH DRIVE, SAINT AUGUSTINE, FL, 32095, US |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346963105 | 2022-09-26 | 2022-10-11 | 164 SPANISH MARSH DR, SAINT AUGUSTINE, FL, 320957405, US | 164 SPANISH MARSH DR, SAINT AUGUSTINE, FL, 320957405, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 443-983-4627 |
Authorized person
| Name | DR. MARGO SLOVIS |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 4439834627 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SLOVIS MARGO A | Agent | 164 SPANISH MARSH DRIVE, SAINT AUGUSTINE, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| SLOVIS MARGO A | Manager | 164 SPANISH MARSH DRIVE, SAINT AUGUSTINE, FL, 32095 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-03-19 |
| Florida Limited Liability | 2022-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
