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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BROZY BRYAN | Agent | 12620 Beach Blvd, JACKSONVILLE, FL, 32246 |
Name | Role | Address |
---|---|---|
BROZY BRYAN K | Director | 5000 Kernan Blvd S, JACKSONVILLE, FL, 32224 |
Name | Role | Address |
---|---|---|
BROZY BRYAN K | President | 5000 Kernan Blvd S, JACKSONVILLE, FL, 32224 |
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 |
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