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PRECISION INJURY AND REHAB CLINIC LLC

Company Details

Entity Name: PRECISION INJURY AND REHAB CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Nov 2024 (3 months ago)
Document Number: L24000469797
Address: 5775 ORTEGA VIEW WAY, UNIT 13, JACKSONVILLE, FL, 32244
Mail Address: 5775 ORTEGA VIEW WAY, UNIT 13, JACKSONVILLE, FL, 32244
ZIP code: 32244
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083437263 2024-11-05 2024-11-05 5775 ORTEGA VIEW WAY UNIT 13, JACKSONVILLE, FL, 322447864, US 5775 ORTEGA VIEW WAY UNIT 13, JACKSONVILLE, FL, 322447864, US

Contacts

Phone +1 904-420-8711

Authorized person

Name JOHN DISTEFANO
Role BUSINESS MANAGER
Phone 3523173214

Taxonomy

Taxonomy Code 111NR0400X - Rehabilitation Chiropractor
Is Primary Yes

Agent

Name Role
EDWARD RYAN CONSULTANTS LLC Agent

Manager

Name Role Address
FRANCIS ADAM Manager 5775 ORTEGA VIEW WAY, UNIT 13, JACKSONVILLE, FL, 32244

Documents

Name Date
Florida Limited Liability 2024-11-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State