| Entity Name: | CRUTCHFIELD DPT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jul 2022 (3 years ago) |
| Document Number: | L22000327044 |
| FEI/EIN Number | 88-3407474 |
| Address: | 1497 GREYFIELD DR, SAINT AUGUSTINE, FL 32092 |
| Mail Address: | 1497 GREYFIELD DR, SAINT AUGUSTINE, FL 32092 |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184351231 | 2022-08-08 | 2022-08-08 | 1497 GREYFIELD DR, SAINT AUGUSTINE, FL, 320925019, US | 1497 GREYFIELD DR, SAINT AUGUSTINE, FL, 320925019, US | |||||||||||||||||
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| Phone | +1 352-256-3496 |
Authorized person
| Name | MORGAN CRUTCHFIELD |
| Role | OWNER |
| Phone | 3522563496 |
Taxonomy
| Taxonomy Code | 222Q00000X - Developmental Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CRUTCHFIELD, MORGAN S | Agent | 1497 GREYFIELD DR, SAINT AUGUSTINE, FL 32092 |
| Name | Role | Address |
|---|---|---|
| CRUTCHFIELD, MORGAN S | Authorized Person | 1497 GREYFIELD DR, SAINT AUGUSTINE, FL 32092 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-07-25 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
