| Entity Name: | PHYSICAL THERAPY NOW CUTLER BAY |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2024 (a year ago) |
| Document Number: | L24000012845 |
| Address: | 11517 QUAIL ROOST DRIVE, MIAMI, FL 33157 |
| Mail Address: | 12277 SW 130TH STREET, MIAMI, FL 33186 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629830179 | 2024-01-29 | 2024-01-29 | 11517 QUAIL ROOST DR, MIAMI, FL, 33157, US | 11517 QUAIL ROOST DR, MIAMI, FL, 33157, US | |||||||||||||||||||||
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| Phone | +1 305-570-1666 |
| Fax | 3052030546 |
Authorized person
| Name | ANDRES ZAPATA |
| Role | OWNER |
| Phone | 3052445883 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | OT11471 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZAPATA, ANDRES F | Agent | 12277 SW 130TH STREET, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| ZAPATA, ANDRES F | Manager | 12277 SW 130TH STREET, MIAMI, FL 33186 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-04 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
