| Entity Name: | HYBRID REHAB & PERFORMANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 May 2022 (3 years ago) |
| Document Number: | L22000229325 |
| FEI/EIN Number | 88-2527068 |
| Address: | 6708 MIRROR LAKE AVE, TAMPA, FL, 33634 |
| Mail Address: | 6708 MIRROR LAKE AVE, TAMPA, FL, 33634 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679203749 | 2022-06-13 | 2022-06-13 | 6708 MIRROR LAKE AVE, TAMPA, FL, 336341065, US | 6708 MIRROR LAKE AVE, TAMPA, FL, 336341065, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-454-3377 |
Authorized person
| Name | DR. ERMIYAS GHEBRAI |
| Role | OWNER/OFFICER |
| Phone | 8134543377 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GHEBRAI ERMIYAS H | Agent | 6708 MIRROR LAKE AVE, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| GHEBRAI ERMIYAS H | Manager | 6708 MIRROR LAKE AVE, TAMPA, FL, 33634 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| Florida Limited Liability | 2022-05-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
