| Entity Name: | TARA FISHER, DPT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Sep 2023 (a year ago) |
| Document Number: | L23000413359 |
| FEI/EIN Number | 93-3288177 |
| Address: | 219 ELLWOOD AVE, SATELLITE BEACH, FL 32937 |
| Mail Address: | 219 ELLWOOD AVE, SATELLITE BEACH, FL 32937 |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689451809 | 2023-09-11 | 2023-09-11 | 219 ELLWOOD AVE, SATELLITE BEACH, FL, 329373130, US | 219 ELLWOOD AVE, SATELLITE BEACH, FL, 329373130, US | |||||||||||||
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| Phone | +1 303-598-9874 |
Authorized person
| Name | DR. TARA FISHER |
| Role | OWNER, PHYSICAL THERAPIST |
| Phone | 3035989874 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISHER, TARA | Agent | 219 ELLWOOD AVE, SATELLITE BEACH, FL 32937 |
| Name | Role | Address |
|---|---|---|
| Fisher, Tara | Owner | 219 ELLWOOD AVE, SATELLITE BEACH, FL 32937 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| Florida Limited Liability | 2023-09-05 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
