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B.WELL PHYSICAL THERAPY & WELLNESS P.A.

Company Details

Entity Name: B.WELL PHYSICAL THERAPY & WELLNESS P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Sep 2020 (4 years ago)
Document Number: P20000071618
FEI/EIN Number 85-3018918
Address: 5000 Kernan Blvd S, JACKSONVILLE, FL, 32224, US
Mail Address: 12620 Beach Blvd, STE 3 - 405, JACKSONVILLE, FL, 32246, US
ZIP code: 32224
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154160836 2024-05-22 2024-05-22 12620 BEACH BLVD SUITE 3 - 405, JACKSONVILLE, FL, 32246, US 5000 KERNAN BLVD S APT 819, JACKSONVILLE, FL, 322240696, US

Contacts

Phone +1 904-796-8499
Phone +1 336-813-2396

Authorized person

Name DR. BRYAN BROZY
Role OWNER
Phone 9047968499

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
BROZY BRYAN Agent 12620 Beach Blvd, JACKSONVILLE, FL, 32246

Director

Name Role Address
BROZY BRYAN K Director 5000 Kernan Blvd S, JACKSONVILLE, FL, 32224

President

Name Role Address
BROZY BRYAN K President 5000 Kernan Blvd S, JACKSONVILLE, FL, 32224

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-07 5000 Kernan Blvd S, 819, JACKSONVILLE, FL 32224 No data
CHANGE OF MAILING ADDRESS 2024-02-07 5000 Kernan Blvd S, 819, JACKSONVILLE, FL 32224 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-07 12620 Beach Blvd, STE 3 - 405, JACKSONVILLE, FL 32246 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-02-19
Domestic Profit 2020-09-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State