| Entity Name: | GARNER PHYSICAL THERAPY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 May 2003 (22 years ago) |
| Document Number: | L03000016352 |
| FEI/EIN Number | 200046229 |
| Address: | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL, 33573, US |
| Mail Address: | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL, 33573, US |
| ZIP code: | 33573 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659387314 | 2006-08-01 | 2020-08-22 | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736838, US | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736838, US | |||||||||||||||||||||
|
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| Phone | +1 813-633-0669 |
| Fax | 8136330881 |
Authorized person
| Name | MRS. ALICIA CARTER GARNER |
| Role | OWNER |
| Phone | 8136330669 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE RAILROAD |
| Number | DA6129 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Nixon ALICIA A | Agent | 827 CYPRESS VILLAGE BLVD., SUN CITY CENTER, FL, 33573 |
| Name | Role | Address |
|---|---|---|
| NIXON ALICIA A | Manager | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL, 33573 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-30 | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-30 | 827 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-23 | Nixon, ALICIA A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-29 | 827 CYPRESS VILLAGE BLVD., SUN CITY CENTER, FL 33573 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
