| Entity Name: | INTRACOASTAL PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INTRACOASTAL PHYSICAL THERAPY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 12 Sep 2002 (23 years ago) |
| Date of dissolution: | 03 Apr 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Apr 2024 (a year ago) |
| Document Number: | L02000023677 |
| FEI/EIN Number |
522383277
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4957 Rosewood Lane, Melbourne, FL, 32940, US |
| Mail Address: | 4957 ROSEWOOD LANE, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962483370 | 2005-11-11 | 2020-08-22 | 308 S HARBOR CITY BLVD, SUITE B, MELBOURNE, FL, 329011500, US | 308 S HARBOR CITY BLVD, SUITE B, MELBOURNE, FL, 329011500, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 321-951-2416 |
| Fax | 3219512077 |
Authorized person
| Name | MR. MATTHEW KARL THOMPSON |
| Role | OWNER |
| Phone | 3219512416 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD GR |
| Number | Y902W |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMPSON MATTHEW | President | 4957 ROSEWOOD LANE, MELBOURNE, FL, 32940 |
| THOMPSON MATTHEW | Agent | 4957 ROSEWOOD LANE, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-03 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-11 | 4957 Rosewood Lane, Melbourne, FL 32940 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-03 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
