| Entity Name: | NEURO PHYSICAL THERAPY & SPORTS MEDICINE II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Apr 2024 (10 months ago) |
| Document Number: | L24000165011 |
| FEI/EIN Number | 992490447 |
| Mail Address: | 322 NE 47TH PLACE, DEERFIELD BEACH, FL, 33064, US |
| Address: | 1533 US Highway 1, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740034727 | 2024-04-15 | 2024-04-15 | 322 NE 47TH PL, DEERFIELD BEACH, FL, 330644104, US | 1533 US HIGHWAY 1, VERO BEACH, FL, 329605735, US | |||||||||||||||||
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| Phone | +1 561-563-4846 |
| Fax | 7722454230 |
| Phone | +1 772-200-4733 |
Authorized person
| Name | DR. JUVY VILLANUEVA |
| Role | OWNER |
| Phone | 5615634846 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA JUVY | Agent | 322 NE 47TH PLACE, DEERFIELD BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA JUVY | Manager | 1533 US HIGHWAY 1, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-18 | 1533 US Highway 1, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
