| Entity Name: | PT WITH TLC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2023 (2 years ago) |
| Document Number: | L23000270654 |
| FEI/EIN Number | 93-1738603 |
| Address: | 614 NW 25TH AVE, BOYNTON BEACH, FL, 33426, US |
| Mail Address: | 614 NW 25TH AVE, BOYNTON BEACH, FL, 33426, UN |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366262412 | 2024-10-14 | 2024-10-14 | 614 NW 25TH AVE, BOYNTON BEACH, FL, 334268793, US | 614 NW 25TH AVE, BOYNTON BEACH, FL, 334268793, US | |||||||||||||||
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| Phone | +1 347-200-8063 |
| Fax | 5612377843 |
Authorized person
| Name | DANIELA V MOORE |
| Role | PRESIDENT |
| Phone | 3472008063 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE DANIELA | Agent | 614 NW 25TH AVE, BOYNTON BEACH, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| MOORE DANIELA | Chief Executive Officer | 614 NW 25TH AVE, BOYNTON BEACH, FL, 33426 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| Florida Limited Liability | 2023-06-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
