| Entity Name: | UNIVERSITY REHABILITATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jul 2022 (2 years ago) |
| Document Number: | M22000011626 |
| FEI/EIN Number | 59-3502725 |
| Address: | 733 DUNLAWTON AVENUE STE 103, PORT ORANGE, FL 32127 |
| Mail Address: | 733 DUNLAWTON AVENUE STE 103, PORT ORANGE, FL 32127 |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811185291 | 2007-10-10 | 2024-08-01 | PO BOX 8600, PORT ST LUCIE, FL, 349858600, US | 733 DUNLAWTON AVE, STE 103, PORT ORANGE, FL, 321274225, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 772-335-7966 |
| Fax | 7723357963 |
| Phone | +1 386-756-0077 |
| Fax | 3867566811 |
Authorized person
| Name | JEFFREY A TUCKER |
| Role | OWNER/PT |
| Phone | 3867560077 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 4660 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| TUCKER, JEFFREY | Manager | 515 N FLAGLER DR, WEST PALM BCH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| West, Dylan | Authorized Representative | 515 N Flagler Drive, Suite 402 West Palm Beach, FL 33401 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000117568 | PREMIER PHYSICAL THERAPY AND SPORTS MEDICINE | ACTIVE | 2023-09-22 | 2028-12-31 | No data | PO BOX 8600, PORT ST. LUCIE, FL, 34985 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-27 |
| Foreign Limited | 2022-07-25 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
