| Entity Name: | LAVENDER PHYSICAL THERAPY & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 May 2023 (2 years ago) |
| Document Number: | L23000241063 |
| FEI/EIN Number | 93-1457973 |
| Address: | 2100 Coral Way, Ste 200-14, MIAMI, FL 33145 |
| Mail Address: | 2100 Coral Way, Ste 200-14, MIAMI, FL 33145 |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891563243 | 2023-12-14 | 2023-12-14 | 9461 SW 119TH CT, MIAMI, FL, 331862007, US | 9461 SW 119TH CT, MIAMI, FL, 331862007, US | |||||||||||||||||
|
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| Phone | +1 305-401-2105 |
Authorized person
| Name | ERIKA LOPEZ |
| Role | OWNER |
| Phone | 3054012105 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, ERIKA N | Agent | 2100 Coral Way, Ste 200-14, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, ERIKA N | Manager | 2100 Coral Way, Ste 200-14 MIAMI, FL 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-21 | 2100 Coral Way, Ste 200-14, MIAMI, FL 33145 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-21 | 2100 Coral Way, Ste 200-14, MIAMI, FL 33145 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-21 | 2100 Coral Way, Ste 200-14, MIAMI, FL 33145 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-06 |
| Florida Limited Liability | 2023-05-16 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
