| Entity Name: | JAE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2022 (3 years ago) |
| Document Number: | L22000299266 |
| FEI/EIN Number | 88-4061225 |
| Mail Address: | 1813 NW 162ND AVE, PEMBROKE PINES, FL 33028 |
| Address: | 4851 SW 148th Ave, #2, Davie, FL 33330 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942900840 | 2023-03-08 | 2023-03-08 | 1813 NW 162ND AVE, PEMBROKE PINES, FL, 330281707, US | 4851 SW 148TH AVE, DAVIE, FL, 333302129, US | |||||||||||||
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| Phone | +1 786-361-4654 |
Authorized person
| Name | DR. JOSELYN RODRIGUEZ |
| Role | OWNER |
| Phone | 7863614654 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JOSELYN D, DR. | Agent | 1813 NW 162ND AVE, PEMBROKE PINES, FL 33028 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JOSELYN D, DR. | Manager | 1813 NW 162ND AVE, PEMBROKE PINES, FL 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-07 | 4851 SW 148th Ave, #2, Davie, FL 33330 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-05 |
| Florida Limited Liability | 2022-07-05 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
