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 |
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 | |||||||||||||
|
Phone | +1 904-420-8711 |
Authorized person
Name | JOHN DISTEFANO |
Role | BUSINESS MANAGER |
Phone | 3523173214 |
Taxonomy
Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
Is Primary | Yes |
Name | Role |
---|---|
EDWARD RYAN CONSULTANTS LLC | Agent |
Name | Role | Address |
---|---|---|
FRANCIS ADAM | Manager | 5775 ORTEGA VIEW WAY, UNIT 13, JACKSONVILLE, FL, 32244 |
Name | Date |
---|---|
Florida Limited Liability | 2024-11-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State