| Entity Name: | NAPLES PELVIC HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Sep 2024 (4 months ago) |
| Document Number: | L24000401208 |
| Address: | 6325 LEXINGTON COURT, APT 201, NAPLES, FL 34110 |
| Mail Address: | POST OFFICE BOX 111302, NAPLES, FL 34108 |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275350415 | 2024-09-19 | 2024-09-19 | PO BOX 111302, NAPLES, FL, 341080122, US | 6325 LEXINGTON CT APT 201, NAPLES, FL, 341109058, US | |||||||||||||
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| Phone | +1 407-697-9721 |
Authorized person
| Name | DR. LISAMARIE TRAN OWENS |
| Role | PHYSICAL THERAPIST |
| Phone | 4076979721 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OWENS, LISAMARIE | Agent | 6325 LEXINGTON COURT, APT 201, NAPLES, FL 34110 |
| Name | Role | Address |
|---|---|---|
| OWENS, LISAMARIE | DR. | 6325 LEXINGTON COURT, APT 201, NAPLES, FL 34110 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-13 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
