| Entity Name: | GULF BREEZE PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jun 1982 (43 years ago) |
| Document Number: | F84377 |
| FEI/EIN Number | 592202550 |
| Mail Address: | 4714 GETTYSBURG ROAD, LEGAL, MECHANICSBURG, PA, 17055 |
| Address: | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | GULF BREEZE PHYSICAL THERAPY, INC., ALABAMA | 000-935-003 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730183153 | 2005-06-13 | 2015-01-06 | 4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA, 170554325, US | 2065 AIRPORT BLVD, SUITE 300, PENSACOLA, FL, 325045931, US | |||||||||||||||||||
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| Phone | +1 717-972-1100 |
| Fax | 7179759981 |
| Phone | +1 850-477-6966 |
| Fax | 8504770267 |
Authorized person
| Name | MR. MICHAEL E. TARVIN |
| Role | VICE PRESIDENT |
| Phone | 7179721100 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1143029 | 4714 GETTYSBURG ROAD, P.O. BOX 2034, MECHANICSBURG, PA, 17055 | 4714 GETTYSBURG ROAD, P.O. BOX 2034, MECHANICSBURG, PA, 17055 | 7179721100 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Form type | 424B3 |
| File number | 333-196404-209 |
| Filing date | 2014-06-16 |
| File | View File |
Filings since 2014-06-12
| Form type | EFFECT |
| File number | 333-196404-209 |
| Filing date | 2014-06-12 |
| File | View File |
Filings since 2014-05-30
| Form type | S-4 |
| File number | 333-196404-209 |
| Filing date | 2014-05-30 |
| File | View File |
Filings since 2013-09-03
| Form type | 424B4 |
| File number | 333-190628-187 |
| Filing date | 2013-09-03 |
| File | View File |
Filings since 2013-08-29
| Form type | EFFECT |
| File number | 333-190628-187 |
| Filing date | 2013-08-29 |
| File | View File |
Filings since 2013-08-27
| Form type | CORRESP |
| Filing date | 2013-08-27 |
| File | View File |
Filings since 2013-08-22
| Form type | UPLOAD |
| Filing date | 2013-08-22 |
| File | View File |
Filings since 2013-08-14
| Form type | S-4 |
| File number | 333-190628-187 |
| Filing date | 2013-08-14 |
| File | View File |
Filings since 2005-06-16
| Form type | S-4 |
| File number | 333-125846-171 |
| Filing date | 2005-06-16 |
| File | View File |
Filings since 2003-11-12
| Form type | 424B3 |
| File number | 333-109776-205 |
| Filing date | 2003-11-12 |
| File | View File |
Filings since 2003-11-10
| Form type | S-4/A |
| File number | 333-109776-205 |
| Filing date | 2003-11-10 |
| File | View File |
Filings since 2003-10-17
| Form type | S-4 |
| File number | 333-109776-205 |
| Filing date | 2003-10-17 |
| File | View File |
Filings since 2001-07-12
| Form type | 424B3 |
| File number | 333-63828-C6 |
| Filing date | 2001-07-12 |
| File | View File |
Filings since 2001-07-10
| Form type | S-4/A |
| File number | 333-63828-C6 |
| Filing date | 2001-07-10 |
| File | View File |
Filings since 2001-06-26
| Form type | S-4 |
| File number | 333-63828-99 |
| Filing date | 2001-06-26 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| Smith Chad | President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| TARVIN MICHAEL E | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Veit Joel T | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| JOHN DUGGAN F | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| JOHN DUGGAN F | Assistant Secretary | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07341900026 | SELECT PHYSICAL THERAPY | ACTIVE | 2007-12-07 | 2027-12-31 | No data | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2005-02-17 | No data | No data |
| REINSTATEMENT | 2001-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| AMENDMENT AND NAME CHANGE | 1993-07-30 | GULF BREEZE PHYSICAL THERAPY, INC. | No data |
| NAME CHANGE AMENDMENT | 1988-10-31 | GULF BREEZE PHYSICAL THERAPY AND REHABILITATION SERVICES, HOOVER-GROSS AND DEJEAN, R.P.T., P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
