| Entity Name: | REVEL PHYSICAL THERAPY AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 May 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000234266 |
| Address: | 500 HARBOUR PLACE DR, APT 1313, TAMPA, FL 33602 |
| Mail Address: | 500 HARBOUR PLACE DR, APT 1313, TAMPA, FL 33602 |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902536071 | 2022-06-13 | 2022-06-13 | 500 HARBOUR PLACE DR APT 1313, TAMPA, FL, 336026745, US | 500 HARBOUR PLACE DR APT 1313, TAMPA, FL, 336026745, US | |||||||||||||
|
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| Phone | +1 603-387-2357 |
Authorized person
| Name | JUSTINE N FOURNIER |
| Role | PHYSICAL THERAPIST |
| Phone | 6033872357 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOURNIER, JUSTINE N, PT, DPT | Agent | 500 HARBOUR PLACE DR, APT 1313, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| FOURNIER, JUSTINE N, PT, DPT | Manager | 500 HARBOUR PLACE DR, APT 1313, TAMPA, FL 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-05-19 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
