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PROACTIVE PHYSICAL THERAPY AND WELLNESS LLC - Florida Company Profile

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Company Details

Entity Name: PROACTIVE PHYSICAL THERAPY AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Nov 2024 (9 months ago)
Document Number: L24000493245
Address: 7901 4TH ST N, STE 300, ST. PETERSBURG, FL, 33702, US
Mail Address: 750 LAKE WINNEMISSETT DR, DELAND, FL, 32724, US
ZIP code: 33702
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WAGNER LAURA Manager 750 LAKE WINNEMISSETT DR, DELAND, FL, 32724
WAGNER LAURA Authorized Member 750 LAKE WINNEMISSETT DR, DELAND, FL, 32724
- Agent -

National Provider Identifier

NPI Number:
1467245837
Certification Date:
2025-05-27

Authorized Person:

Name:
LAURA WAGNER
Role:
DPT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000146004 ALTUS PERFORMANCE PHYSICAL THERAPY ACTIVE 2024-12-02 2029-12-31 - 750 LAKE WINNEMISSETT DR, DELAND, FL, 32724

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-04-01 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 -
CHANGE OF PRINCIPAL ADDRESS 2024-04-01 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 -

Documents

Name Date
Florida Limited Liability 2024-11-22

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Date of last update: 02 Aug 2025

Sources: Florida Department of State