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NATALYA LEZHAK DPT, LLC

Company Details

Entity Name: NATALYA LEZHAK DPT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Sep 2023 (a year ago)
Document Number: L23000419292
FEI/EIN Number 93-3327720
Address: 108 WOODLAND HILLS WAY, ST. JOHNS, FL, 32259, US
Mail Address: 108 WOODLAND HILLS WAY, ST. JOHNS, FL, 32259, US
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407697006 2024-06-05 2024-06-05 108 WOODLAND HILLS WAY, ST JOHNS, FL, 322593290, US 108 WOODLAND HILLS WAY, ST JOHNS, FL, 322593290, US

Contacts

Phone +1 917-202-7188

Authorized person

Name DR. NATALYA LEZHAK
Role OWNER
Phone 9172027188

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
LEZHAK NATALYA Agent 108 WOODLAND HILLS WAY, ST. JOHNS, FL, 32259

Authorized Person

Name Role Address
LEZHAK NATALYA Authorized Person 108 WOODLAND HILLS WAY, ST. JOHNS, FL, 32259

Documents

Name Date
ANNUAL REPORT 2024-04-22
Florida Limited Liability 2023-09-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State