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FORCE PHYSIOTHERAPY WYNWOOD LLC

Company Details

Entity Name: FORCE PHYSIOTHERAPY WYNWOOD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Oct 2023 (a year ago)
Document Number: L23000482080
FEI/EIN Number 93-3971601
Mail Address: 2250 SW 71ST TERRACE, DAVIE, FL 33317
Address: 2243 N. MIAMI AVE, #110, MIAMI, FL 33127
ZIP code: 33127
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568235471 2023-11-02 2023-11-02 2250 SW 71ST TER, DAVIE, FL, 333177136, US 2243 N MIAMI AVE STE 110, MIAMI, FL, 331275823, US

Contacts

Phone +1 786-684-8796
Fax 9542819019

Authorized person

Name CHRISTOPHER ELLIS
Role MANAGER
Phone 7866848796

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
ELLIS, CHRISTOPHER Agent 7742 MARVANNA LANE, PARKLAND, FL, FL 33076

Manager

Name Role Address
ELLIS, CHRISTOPHER Manager 7742 MARVANNA LANE, PARKLAND, FL 33076
KRENKEL, HAL Manager 12820 COUNTRY GLEN DRIVE, COOPER CITY, FL 33330

Documents

Name Date
ANNUAL REPORT 2024-01-29
Florida Limited Liability 2023-10-20

Date of last update: 08 Jan 2025

Sources: Florida Department of State