| Entity Name: | FORZA SPORTS MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Oct 2023 (a year ago) |
| Document Number: | L23000477394 |
| FEI/EIN Number | 93-3929384 |
| Address: | 100 NW 6TH ST, APT 1903, MIAMI, FL 33136 |
| Mail Address: | 100 NW 6TH ST, APT 1903, MIAMI, FL 33136 |
| ZIP code: | 33136 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982476230 | 2023-10-30 | 2023-10-30 | 100 NW 6TH ST APT 1903, MIAMI, FL, 331364134, US | 100 NW 6TH ST APT 1903, MIAMI, FL, 331364134, US | |||||||||||||
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| Phone | +1 347-672-4630 |
Authorized person
| Name | NICHOLAS DELISI |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 3476724630 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELISI, NICHOLAS J | Agent | 100 NW 6TH ST, APT 1903, MIAMI, FL 33136 |
| Name | Role | Address |
|---|---|---|
| DELISI, NICHOLAS J, PT, DPT | Manager | 100 NW 6TH ST APT 1903, MIAMI, FL 33136 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-02-26 |
| Florida Limited Liability | 2023-10-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
