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GREATER DAYTONA WOMEN'S HEALTH AND PHYSICAL THERAPY LLC - Florida Company Profile

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Company Details

Entity Name: GREATER DAYTONA WOMEN'S HEALTH AND PHYSICAL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Apr 2024 (a year ago)
Document Number: L24000194455
FEI/EIN Number 99-2797486
Mail Address: 76 ORCHARD LN, ORMOND BEACH, FL, 32176, UN
Address: 112 Orange Ave, Daytona Beach, FL, 32114, US
ZIP code: 32114
City: Daytona Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MILLER JOSEPH Manager 76 ORCHARD LN, ORMOND BEACH, FL, 32176
MILLER CATHERING C Manager 76 ORCHARD LN, ORMOND BEACH, FL, 32176
MILLER JILLIAN W Agent 76 ORCHARD LN, ORMOND BEACH, FL, 32176
MILLER JILLIAN W President 76 ORCHARD LN, ORMOND BEACH, FL, 32176

National Provider Identifier

NPI Number:
1265222319
Certification Date:
2025-06-04

Authorized Person:

Name:
DR. JILLIAN MILLER
Role:
OWNER, CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3865158416

Documents

Name Date
Florida Limited Liability 2024-04-25

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Date of last update: 02 Aug 2025

Sources: Florida Department of State