| Entity Name: | FORWARD MOTION PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Sep 2023 (a year ago) |
| Document Number: | L23000438489 |
| FEI/EIN Number | 93-3724360 |
| Address: | 241 OLDE POST RD, NICEVILLE, FL 32578 |
| Mail Address: | 241 OLDE POST RD, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710769781 | 2023-10-16 | 2023-10-16 | 241 OLDE POST RD, NICEVILLE, FL, 325783914, US | 241 OLDE POST RD, NICEVILLE, FL, 325783914, US | |||||||||||||||||
|
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| Phone | +1 770-715-2712 |
Authorized person
| Name | DR. LAUREN VANSLEE |
| Role | PHYSICAL THERAPIST/ OWNER |
| Phone | 7707152712 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VANSLEE, LAUREN | Agent | 241 OLDE POST RD, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| VANSLEE, LAUREN | Authorized Representative | 241 OLDE POST RD, NICEVILLE, FL 32578 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| Florida Limited Liability | 2023-09-20 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
