| Entity Name: | DIY PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2023 (a year ago) |
| Document Number: | L23000539637 |
| FEI/EIN Number | 93-4767727 |
| Address: | 320 HIGH TIDE DRIVE, 101A, ST. AUGUSTINE, FL 32080 UN |
| Mail Address: | 320 HIGH TIDE DRIVE, 101A, ST. AUGUSTINE, FL 32080 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679357693 | 2023-08-21 | 2023-12-28 | PO BOX 2013, ST AUGUSTINE, FL, 320852013, US | 382 NE 191ST ST STE 381172, MIAMI, FL, 331793899, US | |||||||||||||
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| Phone | +1 877-797-1532 |
Authorized person
| Name | TODD BALL |
| Role | CLINICAL MANAGER |
| Phone | 9047886458 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BALL, JENNIFER | Agent | 123 SUNSET CIRCLE S, ST. AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| BALL, JENNIFER | Authorized Member | 123 SUNSET CIRCLE S, ST. AUGUSTINE, FL 32080 UN |
| Name | Role | Address |
|---|---|---|
| BALL, TODD | Manager | 123 SUNSET CIRCLE S, ST. AUGUSTINE, FL 32080 UN |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| Florida Limited Liability | 2023-12-05 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
