| Entity Name: | GULF COAST PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Feb 1989 (36 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | K69030 |
| FEI/EIN Number | 59-2934191 |
| Address: | 18132 Nassau Pt Dr, Tampa, FL 33647 |
| Mail Address: | 18132 Nassau Pt Dr, Tampa, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720014483 | 2006-06-24 | 2020-08-22 | 6043 W NORDLING LOOP, CRYSTAL RIVER, FL, 344298716, US | 6043 W NORDLING LOOP, CRYSTAL RIVER, FL, 344298716, US | |||||||||||||||||||||
|
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| Phone | +1 352-563-0030 |
| Fax | 3525630102 |
Authorized person
| Name | GLORIA BRYANT |
| Role | MANAGEMENT DIRECTOR |
| Phone | 3525630030 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS OF FLORIDA PRV # |
| Number | Q99 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONSETTE, GHISLAIN | Agent | 18132 Nassau Pt Dr, Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| GONSETTE, GHISLAIN | President | 18132 Nassau Pt Dr, Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| GONSETTE, LETICIA | Vice President | 18132 Nassau Pt Dr, Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| BRYANT, GLORIA | Secretary | 5050 NW 37 PL, CHIEFLAND, FL 32626 |
| Name | Role | Address |
|---|---|---|
| BRYANT, GLORIA | Treasurer | 5050 NW 37 PL, CHIEFLAND, FL 32626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-15 | 18132 Nassau Pt Dr, Tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-15 | 18132 Nassau Pt Dr, Tampa, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-15 | 18132 Nassau Pt Dr, Tampa, FL 33647 | No data |
| REGISTERED AGENT NAME CHANGED | 1993-04-15 | GONSETTE, GHISLAIN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-15 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-02-18 |
| ANNUAL REPORT | 2010-03-18 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-04-12 |
| ANNUAL REPORT | 2006-01-23 |
| ANNUAL REPORT | 2005-01-11 |
| ANNUAL REPORT | 2004-02-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
