| Entity Name: | DR. BEN KELLY, DPT, CSCS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Sep 2023 (a year ago) |
| Document Number: | L23000444569 |
| FEI/EIN Number | 93-3596600 |
| Address: | 3510 emerald pointe dr, 207b, hollywood, FL 33021 |
| Mail Address: | 3510 emerald pointe dr, 207b, hollywood, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730919507 | 2024-08-06 | 2024-08-06 | 3510 EMERALD POINTE DR APT 207B, HOLLYWOOD, FL, 330211365, US | 1121 HOLLAND DR STE 1, BOCA RATON, FL, 334872735, US | |||||||||||||
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| Phone | +1 443-286-7596 |
Authorized person
| Name | DR. BENJAMIN PATRICK KELLY |
| Role | OWNER |
| Phone | 4432867596 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KELLY, BENJAMIN P | Agent | 3510 emerald pointe dr, 207b, hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| KELLY, BENJAMIN P, Dr. | Authorized Member | 3510 emerald pointe dr, 207b hollywood, FL 33021 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000121403 | CYPHER SPORTS REHAB AND PERFORMANCE | ACTIVE | 2024-09-30 | 2029-12-31 | No data | 3510 EMERALD POINTE DR 207B, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 3510 emerald pointe dr, 207b, hollywood, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 3510 emerald pointe dr, 207b, hollywood, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-01 | 3510 emerald pointe dr, 207b, hollywood, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| Florida Limited Liability | 2023-09-25 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
