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RENEW PHYSICAL THERAPY AND WELLNESS LLC

Company Details

Entity Name: RENEW PHYSICAL THERAPY AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Mar 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 22 Aug 2024 (6 months ago)
Document Number: L23000118100
FEI/EIN Number 92-2933693
Address: 3670 US 1 SOUTH, UNIT 100, ST. AUGUSTINE, FL, 32086, US
Mail Address: 424 GENTIAN ROAD, SAINT AUGUSTINE, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972205003 2023-03-21 2023-03-21 424 GENTIAN RD, ST AUGUSTINE, FL, 320866426, US 424 GENTIAN RD, ST AUGUSTINE, FL, 320866426, US

Contacts

Phone +1 904-599-5459

Authorized person

Name MR. MATTHEW RIEDER
Role OWNER
Phone 9045995459

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
RIEDER MATTHEW A Agent 424 GENTIAN ROAD, SAINT AUGUSTINE, FL, 32086

Authorized Member

Name Role Address
RIEDER MATTHEW A Authorized Member 424 GENTIAN ROAD, SAINT AUGUSTINE, FL, 32086

Manager

Name Role Address
RIEDER SANDRA Manager 424 GENTAIN ROAD, ST AUGUSTINE, FL, 32086

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000097661 RENEW STRENGTH AND WELLNESS ACTIVE 2024-08-16 2029-12-31 No data 424 GENTIAN RD, ST AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-08-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-08-22 3670 US 1 SOUTH, UNIT 100, ST. AUGUSTINE, FL 32086 No data

Documents

Name Date
LC Amendment 2024-08-22
ANNUAL REPORT 2024-03-06
Florida Limited Liability 2023-03-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State