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MIKSELL PHYSICAL THERAPY & WELLNESS LLC - Florida Company Profile

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Company Details

Entity Name: MIKSELL PHYSICAL THERAPY & WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jul 2023 (2 years ago)
Document Number: L23000348299
FEI/EIN Number 93-2527758
Address: 13241 Bartram Park Blvd., JACKSONVILLE, FL, 32258, US
Mail Address: 13241 Bartram Park Blvd., JACKSONVILLE, FL, 32258, US
ZIP code: 32258
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MIKSELL TAYLOR C Manager 10977 MANDARIN STATION DR W, JACKSONVILLE, FL, 32257
MIKSELL REGAN E Manager 10977 MANDARIN STATION DR W, JACKSONVILLE, FL, 32257
MIKSELL TAYLOR C Agent 10977 MANDARIN STATION DR W, JACKSONVILLE, FL, 32257

National Provider Identifier

NPI Number:
1831961085
Certification Date:
2023-11-10

Authorized Person:

Name:
TAYLOR MIKSELL
Role:
OWNER/PRACTIONER
Phone:

Taxonomy:

Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-29 13241 Bartram Park Blvd., STE 609, JACKSONVILLE, FL 32258 -
CHANGE OF MAILING ADDRESS 2024-03-29 13241 Bartram Park Blvd., STE 609, JACKSONVILLE, FL 32258 -

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-03-29
Florida Limited Liability 2023-07-24

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Date of last update: 03 Aug 2025

Sources: Florida Department of State