| Entity Name: | H2O-4-LIFE AQUATIC AND BALANCE REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2023 (2 years ago) |
| Document Number: | L23000183930 |
| FEI/EIN Number | 92-3528302 |
| Address: | 108 BELLA VERDE BLVD, NOKOMIS, FL, 34275, US |
| Mail Address: | 3545 MASSINI AVE, NORTH PORT, FL, 34286, US |
| ZIP code: | 34275 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740044908 | 2024-02-08 | 2024-02-08 | 3545 MASSINI AVE, NORTH PORT, FL, 342862412, US | 108 BELLA VERDE BLVD, NOKOMIS, FL, 342751100, US | |||||||||||||||||
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| Phone | +1 941-539-2403 |
Authorized person
| Name | BRENDA VANSALISBURY |
| Role | CEO |
| Phone | 9415392403 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VANSALISBURY BRENDA | Agent | 3545 MASSINI AVE, NORTH PORT, FL, 34286 |
| Name | Role | Address |
|---|---|---|
| VANSALISBURY BRENDA | Chief Executive Officer | 3545 MASSINI AVE, NORTH PORT, FL, 34286 |
| Name | Role | Address |
|---|---|---|
| VAN SALISBURY GEORGE | President | 3545 MASSINI AVE, NORTH PORT, FL, 34286 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-03 |
| Florida Limited Liability | 2023-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
