| Entity Name: | NEW U PHYSICAL THERAPY OF NORTH MIAMI PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Aug 2022 (2 years ago) |
| Document Number: | L22000361116 |
| FEI/EIN Number | 88-3795243 |
| Address: | 12550 BISCAYNE BLVD, SUITE 403, NORTH MIAMI, FL 33181 |
| Mail Address: | 12550 BISCAYNE BLVD, SUITE 403, NORTH MIAMI, FL 33181 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154049690 | 2022-08-19 | 2022-08-19 | 12550 BISCAYNE BLVD STE 403, NORTH MIAMI, FL, 331812537, US | 12550 BISCAYNE BLVD STE 403, NORTH MIAMI, FL, 331812537, US | |||||||||||||||||||||
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| Phone | +1 646-675-0703 |
| Fax | 3478576005 |
Authorized person
| Name | BORIS POLONSKIY |
| Role | OWNER |
| Phone | 9173064109 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | PT38484 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POLONSKIY, BORIS | Agent | 12550 BISCAYNE BLVD, SUITE 403, NORTH MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| POLONSKIY, BORIS | Manager | 12550 BISCAYNE BLVD SUITE 403, NORTH MIAMI, FL 33181 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-04-17 |
| Florida Limited Liability | 2022-08-16 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
