| Entity Name: | BODYFORGE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Aug 2024 (6 months ago) |
| Document Number: | L24000340339 |
| FEI/EIN Number | 99-4260926 |
| Address: | 3600 W FLAGLER STREET, MIAMI, FL 33135 |
| Mail Address: | 5340 SW 59TH AVENUE, MIAMI, FL 33155 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457170847 | 2024-10-03 | 2024-10-03 | 5340 SW 59TH AVE, MIAMI, FL, 331556360, US | 3600 W FLAGLER ST, MIAMI, FL, 331351030, US | |||||||||||||
|
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| Phone | +1 786-246-5597 |
Authorized person
| Name | DAVID ANTHONY PEREZ-ESPINOSA |
| Role | PRESIDENT |
| Phone | 7862465597 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ-ESPINOSA, DAVID A | Agent | 5340 SW 59TH AVENUE, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| PEREZ-ESPINOSA, DAVID A | President | 3600 W FLAGLER STREET, MIAMI, FL 33135 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| Florida Limited Liability | 2024-08-01 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
