| Entity Name: | RESURGENT PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Nov 2023 (a year ago) |
| Document Number: | L23000523525 |
| FEI/EIN Number | 93-4867899 |
| Address: | 5731 KINGFISH DR, LUTZ, FL, 33558 |
| Mail Address: | 5731 KINGFISH DR, LUTZ, FL, 33558 |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366210577 | 2023-12-18 | 2023-12-18 | 5731 KINGFISH DR, LUTZ, FL, 335587105, US | 5731 KINGFISH DR, LUTZ, FL, 335587105, US | |||||||||||||
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| Phone | +1 224-656-7305 |
Authorized person
| Name | TROY BLOOM |
| Role | OWNER, PHYSICAL THERAPIST |
| Phone | 2246567305 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLOOM TROY | Agent | 5731 KINGFISH DR, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| BLOOM TROY | Manager | 5731 KINGFISH DR, LUTZ, FL, 33558 |
| GOTAY NATALIE | Manager | 5731 KINGFISH DR, LUTZ, FL, 33558 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| Florida Limited Liability | 2023-11-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
