| Entity Name: | MAINSTREAM PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Sep 2004 (20 years ago) |
| Date of dissolution: | 13 May 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 May 2016 (9 years ago) |
| Document Number: | L04000067626 |
| FEI/EIN Number | 201737607 |
| Address: | 9371 CYPRESS LAKE DRIVE, SUITE 20, FORT MYERS, FL, 33919 |
| Mail Address: | 9371 CYPRESS LAKE DRIVE, SUITE 20, FORT MYERS, FL, 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134292253 | 2006-11-16 | 2020-08-22 | 9371 CYPRESS LAKE DR, SUITE 20, FORT MYERS, FL, 339194939, US | 9371 CYPRESS LAKE DR, SUITE 20, FORT MYERS, FL, 339194939, US | |||||||||||||||
|
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| Phone | +1 239-415-2595 |
| Fax | 2394152597 |
Authorized person
| Name | MR. RUSSELL WADE STEPHAN |
| Role | OWNER PRESIDENT |
| Phone | 2394152595 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHAN R. WADE | Agent | 9371 CYPRESS LAKE DRIVE, SUITE 20, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| STEPHAN R. WADE | Manager | 9371 CYPRESS LAKE DRIVE, SUITE 20, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-05-13 | No data | No data |
| AMENDMENT | 2004-10-11 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-05-13 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-02-18 |
| ANNUAL REPORT | 2013-03-28 |
| ANNUAL REPORT | 2012-01-23 |
| ANNUAL REPORT | 2011-04-15 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-01-15 |
| ANNUAL REPORT | 2008-03-10 |
| ANNUAL REPORT | 2007-04-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
