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VENGEANCE PHYSICAL THERAPY LLC

Company Details

Entity Name: VENGEANCE PHYSICAL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Mar 2022 (3 years ago)
Document Number: L22000108301
FEI/EIN Number 88-1301398
Address: 8971 SW 21 Street, MIAMI, FL, 33165, US
Mail Address: 8971 SW 21 Street, MIAMI, FL, 33165, US
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760129753 2022-05-19 2022-05-19 331 85TH ST APT 24, MIAMI BEACH, FL, 331414803, US 331 85TH ST APT 24, MIAMI BEACH, FL, 331414803, US

Contacts

Phone +1 786-399-5515

Authorized person

Name NICHOLAS ACOSTA
Role MANAGING MEMBER
Phone 7863995515

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
ACOSTA NICHOLAS Agent 8971 SW 21 Street, MIAMI, FL, 33165

Manager

Name Role Address
ACOSTA NICHOLAS Manager 8971 SW 21 Street, MIAMI, FL, 33165

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-25 8971 SW 21 Street, MIAMI, FL 33165 No data
CHANGE OF MAILING ADDRESS 2024-04-25 8971 SW 21 Street, MIAMI, FL 33165 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-25 8971 SW 21 Street, MIAMI, FL 33165 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-08
Florida Limited Liability 2022-03-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State