| Entity Name: | NORTHSIDE PHYSICAL THERAPY AND REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Oct 1979 (45 years ago) |
| Date of dissolution: | 09 Jan 1987 (38 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jan 1987 (38 years ago) |
| Document Number: | 635538 |
| FEI/EIN Number | 00-0000000 |
| Address: | ION, INC., 740 WEST PLYMOUTH AVE., DELAND, FL 32720 |
| Mail Address: | ION, INC., 740 WEST PLYMOUTH AVE., DELAND, FL 32720 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316178783 | 2009-08-04 | 2014-05-29 | 752 W PLYMOUTH AVE, DELAND, FL, 327203282, US | 752 W PLYMOUTH AVE, DELAND, FL, 327203282, US | |||||||||||||||
|
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| Phone | +1 386-734-1136 |
| Fax | 3867342262 |
Authorized person
| Name | MR. PAUL D HOLLAND |
| Role | PRESIDENT |
| Phone | 3867341136 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUSTER, RICHARD H | Agent | 740 W PLYMOUTH AVE, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| HUSTER, RICHARD H | President | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| Name | Role | Address |
|---|---|---|
| HUSTER, RICHARD H | Director | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| HOOD, ROYCE E JR. | Director | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| GRIFFIN, TAYLOR W JR. | Director | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| Name | Role | Address |
|---|---|---|
| HOOD, ROYCE E JR. | Vice President | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, TAYLOR W JR. | Secretary | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, TAYLOR W JR. | Treasurer | 740 W PLYMOUTH AVE, DELAND, FL 0 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 1987-01-09 | No data | No data |
| NAME CHANGE AMENDMENT | 1983-08-19 | NORTHSIDE PHYSICAL THERAPY AND REHABILITATION, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1983-05-06 | ION, INC., 740 WEST PLYMOUTH AVE., DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 1983-05-06 | ION, INC., 740 WEST PLYMOUTH AVE., DELAND, FL 32720 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1983-05-06 | 740 W PLYMOUTH AVE, DELAND, FL, 32720 | No data |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
