| Entity Name: | WICKS IN-HOUSE GULFCOAST THERAPY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Apr 2024 (10 months ago) |
| Document Number: | L24000195701 |
| Address: | 3466 CLARK RD., SARASOTA, FL 34231 |
| Mail Address: | 3466 CLARK RD., SARASOTA, FL 34231 |
| ZIP code: | 34231 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770330813 | 2024-05-06 | 2024-08-12 | 4939 HIDDEN OAKS LN, SARASOTA, FL, 342323039, US | 3566 CLARK RD, SARASOTA, FL, 342318408, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 941-544-8933 |
Authorized person
| Name | MR. KEVIN WICKS |
| Role | OWNER |
| Phone | 9415448933 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WICKS, KEVIN | Agent | 4939 HIDDEN OAKS LN., SARASOTA, FL 34232 |
| Name | Role | Address |
|---|---|---|
| WICKS, KEVIN | Authorized Member | 3466 CLARK RD., SARASOTA, FL 34231 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-26 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
