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PHYSICAL THERAPY AND WELLNESS CENTER, INC.

Company Details

Entity Name: PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Oct 2003 (21 years ago)
Document Number: P03000123290
FEI/EIN Number 200427340
Address: 7800 Red Road, South Miami, FL, 33143, US
Mail Address: 7800 Red Road, South Miami, FL, 33143, US
ZIP code: 33143
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750727400 2013-05-21 2018-03-17 7800 S RED RD STE 105, SOUTH MIAMI, FL, 331435543, US 7800 S RED RD STE 105, SOUTH MIAMI, FL, 331435543, US

Contacts

Phone +1 305-779-2427

Authorized person

Name DR. ANNA K TISCHENKO
Role OWNER, CLINIC DIRECTOR
Phone 3057792427

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
MARTIN ENRIQUE J Agent C/O HUNTON & WILLIAMS LLP, MIAMI, FL, 33131

MISS

Name Role Address
TISCHENKO ANNA K MISS 4615 NW 84th Ave, Miami, FL, 33166

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-03 7800 Red Road, Suite 105, South Miami, FL 33143 No data
CHANGE OF MAILING ADDRESS 2018-01-03 7800 Red Road, Suite 105, South Miami, FL 33143 No data

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-03-03
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State