| Entity Name: | NORTH DADE PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Sep 1981 (43 years ago) |
| Date of dissolution: | 30 Dec 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Dec 2014 (10 years ago) |
| Document Number: | F48214 |
| FEI/EIN Number | 59-2126906 |
| Address: | 3850 Sheridan Street, Hollywood, FL 33021 |
| Mail Address: | 179 CHUNILOTI WAY, LOUDON, TN 37774 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609921113 | 2007-01-24 | 2013-01-08 | 18690 NW 2ND AVENUE, MIAMI GARDENS, FL, 33169, US | 18690 NW 2ND AVENUE, MIAMI GARDENS, FL, 33169, US | |||||||||||||||||||||
|
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| Phone | +1 305-652-2005 |
| Fax | 3056521741 |
Authorized person
| Name | DR. CHARLES MICHAEL SHAPIRO |
| Role | PRESIDENT |
| Phone | 9549895255 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | K1486 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHARLES, SHAPIRO M, Pres | Agent | 3850 Sheridan Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, ANNA BST | Treasurer | 3850 Sheridan Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, KAREN SV | Vice President | 3850 Sheridan Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, CHARLES M, Pres. | Pres. | 3850 Sheridan Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, ANNA BST | Secretary | 3850 Sheridan Street, Hollywood, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-28 | 3850 Sheridan Street, Hollywood, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-28 | CHARLES, SHAPIRO M, Pres | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-28 | 3850 Sheridan Street, Hollywood, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-12 | 3850 Sheridan Street, Hollywood, FL 33021 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-30 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-02-12 |
| ANNUAL REPORT | 2012-02-29 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-01-19 |
| ANNUAL REPORT | 2009-01-14 |
| ANNUAL REPORT | 2008-01-23 |
| ANNUAL REPORT | 2007-05-04 |
| ANNUAL REPORT | 2006-04-18 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
