| Entity Name: | DP PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 May 2022 (3 years ago) |
| Document Number: | L22000227211 |
| FEI/EIN Number | 88-2515440 |
| Address: | 2300 RIVERDALE DR N, MIRAMAR, FL 33025 |
| Mail Address: | 2300 RIVERDALE DR N, MIRAMAR, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245956671 | 2022-10-17 | 2022-10-17 | 2300 RIVERDALE DR N, MIRAMAR, FL, 330253820, US | 2300 RIVERDALE DR N, MIRAMAR, FL, 330253820, US | |||||||||||||
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| Phone | +1 954-546-4163 |
Authorized person
| Name | DERION ANTHONY PITTMAN |
| Role | PHYSICAL THERAPIST/OWNER |
| Phone | 9545464163 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PITTMAN, DERION A | Agent | 2300 RIVERDALE DR N, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| PITTMAN, DERION A | Manager | 2300 RIVERDALE DR N, MIRAMAR, FL 33025 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-12 |
| Florida Limited Liability | 2022-05-16 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
