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PHYSIO2RESTORE CORP

Company Details

Entity Name: PHYSIO2RESTORE CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Dec 2019 (5 years ago)
Document Number: P19000091780
FEI/EIN Number 84-4016087
Address: 11430 N. Kendall Drive, MIAMI, FL, 33176, US
Mail Address: 11430 N. Kendall Drive, MIAMI, FL, 33176, US
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063004042 2021-02-10 2023-08-31 11430 N KENDALL DR STE 110, MIAMI, FL, 331761041, US 11430 N KENDALL DR STE 110, MIAMI, FL, 331761041, US

Contacts

Phone +1 786-541-7848

Authorized person

Name NOSLEIDY RAMIREZ - BARZAGA
Role OWNER
Phone 7865417848

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary No
Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
RAMIREZ BARZAGA NOSLEIDY Agent 9626 SW 146 AVE, MIAMI, FL, 33186

President

Name Role Address
RAMIREZ BARZAGA NOSLEIDY President 9626 SW 146 AVE, MIAMI, FL, 33186

Secretary

Name Role Address
SOCORRO MANUEL Secretary 9626 SW 146 AVE, MIAMI, FL, 33186

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-03-28 11430 N. Kendall Drive, suite 110, MIAMI, FL 33176 No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-23 11430 N. Kendall Drive, suite 110, MIAMI, FL 33176 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-03
Domestic Profit 2019-12-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State