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UNIVERSITY REHABILITATION LLC - Florida Company Profile

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Company Details

Entity Name: UNIVERSITY REHABILITATION LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 25 Jul 2022 (3 years ago)
Document Number: M22000011626
FEI/EIN Number 593502725
Mail Address: 515 N Flagler Drive, West Palm Beach, FL, 33401, US
Address: 733 DUNLAWTON AVENUE STE 103, PORT ORANGE, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
TUCKER JEFFREY Manager 515 N FLAGLER DR, WEST PALM BCH, FL, 33401
West Dylan Auth 515 N Flagler Drive, West Palm Beach, FL, 33401
- Agent -

National Provider Identifier

NPI Number:
1811185291
Certification Date:
2024-08-01

Authorized Person:

Name:
JEFFREY A TUCKER
Role:
OWNER/PT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
7723357963
Fax:
3867566811

Fictitious Names

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 - PO BOX 8600, PORT ST. LUCIE, FL, 34985

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-10 733 DUNLAWTON AVENUE STE 103, PORT ORANGE, FL 32127 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-01-27
Foreign Limited 2022-07-25

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Date of last update: 02 Aug 2025

Sources: Florida Department of State