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PORTER PELVIC PHYSICAL THERAPY, LLC - Florida Company Profile

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Company Details

Entity Name: PORTER PELVIC PHYSICAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 May 2023 (2 years ago)
Document Number: L23000223951
FEI/EIN Number 92-3912632
Address: 2174 S. Ridgewood Ave Unit C, South Daytona, FL, 32127, US
Mail Address: 106 OLD CARRIAGE RD, PONCE INLET, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PORTER JENNIFER G Manager 106 OLD CARRIAGE RD, PONCE INLET, FL, 32127
PORTER THOMAS VV Authorized Person 106 OLD CARRIAGE RD, PONCE INLET, FL, 32127
PORTER JENNIFER G Agent 106 OLD CARRIAGE RD, PONCE INLET, FL, 32127

Unique Entity ID

Unique Entity ID:
WQMETQG3FFA8
CAGE Code:
9WZY3
UEI Expiration Date:
2026-05-15

Business Information

Activation Date:
2025-05-16
Initial Registration Date:
2024-05-27

Commercial and government entity program

CAGE number:
9WZY3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-16
CAGE Expiration:
2030-05-16
SAM Expiration:
2026-05-15

Contact Information

POC:
JENNIFER G. PORTER
Corporate URL:
porterpelvic.com

National Provider Identifier

NPI Number:
1750072450
Certification Date:
2023-05-15

Authorized Person:

Name:
JENNIFER G PORTER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-10
Florida Limited Liability 2023-05-05

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Date of last update: 01 Aug 2025

Sources: Florida Department of State