| Entity Name: | ISLAND MOBILE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jul 2024 (6 months ago) |
| Document Number: | L24000323352 |
| Address: | 3830 SAINT ARMENS CIR, MELBOURNE, FL, 32934, US |
| Mail Address: | 3830 SAINT ARMENS CIR, MELBOURNE, FL, 32934, US |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720816283 | 2024-07-24 | 2024-07-24 | 3830 SAINT ARMENS CIR, MELBOURNE, FL, 329348352, US | 3830 SAINT ARMENS CIR, MELBOURNE, FL, 329348352, US | |||||||||||||
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| Phone | +1 321-536-0424 |
Authorized person
| Name | MRS. LAURA AITKEN HILL |
| Role | OWNER/PT |
| Phone | 3215360424 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HILL LAURA A | Agent | 3830 SAINT ARMENS CIR, MELBOURNE, FL, 32934 |
| Name | Role | Address |
|---|---|---|
| HILL LAURA A | Authorized Representative | 3830 SAINT ARMENS CIR, MELBOURNE, FL, 32934 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
