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BRYCE PHYSIO AND SPORT PERFORMANCE LLC

Company Details

Entity Name: BRYCE PHYSIO AND SPORT PERFORMANCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 May 2023 (2 years ago)
Document Number: L23000220732
FEI/EIN Number 93-1913022
Address: 1662 NE 23st, City of North Miami, FL 33181
Mail Address: 1662 NE 23st, City of North Miami, FL 33181
ZIP code: 33181
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013770007 2024-02-01 2024-11-06 1662 NE 123RD ST, NORTH MIAMI, FL, 331812701, US 1662 NE 123RD ST, NORTH MIAMI, FL, 331812701, US

Contacts

Phone +1 717-753-0364

Authorized person

Name YEVGNEY ONEFATOR
Role OWNER
Phone 7187530364

Taxonomy

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

Agent

Name Role Address
ONEFATOR, YEVGENY Agent 17275 COLLINS AVE, 701, SUNNY ISLES, FL 33160

Authorized Person

Name Role Address
ONEFATOR, YEVGENY Authorized Person 17275 COLLINS AVE, APT 701, SUNNY ISLES BEACH, FL 33160

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-03 1662 NE 23st, City of North Miami, FL 33181 No data
CHANGE OF MAILING ADDRESS 2025-01-03 1662 NE 23st, City of North Miami, FL 33181 No data

Documents

Name Date
ANNUAL REPORT 2024-03-14
Florida Limited Liability 2023-05-04

Date of last update: 10 Feb 2025

Sources: Florida Department of State