| Entity Name: | CREEKSIDE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jun 2022 (3 years ago) |
| Document Number: | L22000252601 |
| FEI/EIN Number | 88-2802658 |
| Address: | 282 ARTHUR MOORE DRIVE, GREEN COVE SPRINGS, FL, 32043, US |
| Mail Address: | 282 ARTHUR MOORE DRIVE, GREEN COVE SPRINGS, FL, 32043, US |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154053544 | 2022-06-26 | 2022-06-26 | 282 ARTHUR MOORE DR, GREEN COVE SPRINGS, FL, 320439504, US | 282 ARTHUR MOORE DR, GREEN COVE SPRINGS, FL, 320439504, US | |||||||||||||
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| Phone | +1 904-588-5262 |
Authorized person
| Name | MARY MARKEY |
| Role | OWNER |
| Phone | 9045885262 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARKEY COLIN A | Agent | 282 ARTHUR MOORE DRIVE, GREEN COVE SPRINGS, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| MARKEY MARY E | Manager | 282 ARTHUR MOORE DRIVE, GREEN COVE SPRINGS, FL, 32043 |
| MARKEY COLIN A | Manager | 282 ARTHUR MOORE DRIVE, GREEN COVE SPRINGS, FL, 32043 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-17 |
| Florida Limited Liability | 2022-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
