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EMPOWER WOMENS PHYSICAL THERAPY AND WELLNESS LLC

Company Details

Entity Name: EMPOWER WOMENS PHYSICAL THERAPY AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Oct 2022 (2 years ago)
Document Number: L22000424522
FEI/EIN Number 92-0556955
Address: 101 NW 75th Street, GAINESVILLE, FL, 32607, US
Mail Address: 5519 NW 51ST AVE, GAINESVILLE, FL, 32653
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043936636 2022-10-14 2022-10-14 5519 NW 51ST AVE, GAINESVILLE, FL, 326534085, US 5519 NW 51ST AVE, GAINESVILLE, FL, 326534085, US

Contacts

Phone +1 407-286-9630

Authorized person

Name DR. PAYTON MCWILLIAMS
Role MGR, OWNER
Phone 4072869630

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
MCWILLIAMS PAYTON Agent 5519 NW 51ST AVE, GAINESVILLE, FL, 32653

Manager

Name Role Address
MCWILLIAMS PAYTON Manager 5519 NW 51ST AVE, GAINESVILLE, FL, 32653

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-03 101 NW 75th Street, Suite 1, GAINESVILLE, FL 32607 No data

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-04-23
Florida Limited Liability 2022-10-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State