| Entity Name: | OCEAN PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Feb 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L07000015707 |
| FEI/EIN Number | 770670837 |
| Address: | 252 SOUTH OCEAN BLVD., STE. A, MANALAPAN, FL, 33462 |
| Mail Address: | 7100 FAIRWAY DRIVE, SUITES 26-27, PALM BEACH GARDENS, FL, 33418 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467571620 | 2007-03-28 | 2008-05-20 | 7100 FAIRWAY DR STE 27, PALM BEACH GARDENS, FL, 334183782, US | 252 S OCEAN BLVD STE A, LANTANA, FL, 334623312, US | |||||||||||||||||||||||||
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| Phone | +1 561-775-7775 |
| Fax | 5617757807 |
| Phone | +1 561-588-1343 |
| Fax | 5615881462 |
Authorized person
| Name | MR. BRETT A. RICHMAN |
| Role | PHYSICAL THERAPIST |
| Phone | 5617757775 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | Y928M |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RICHMAN BRETT | Agent | 7100 FAIRWAY DRIVE, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| RICHMAN BRETT | Managing Member | 7100 FAIRWAY DRIVE, SUITE 26-27, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-30 | 252 SOUTH OCEAN BLVD., STE. A, MANALAPAN, FL 33462 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-30 | 7100 FAIRWAY DRIVE, 26-27, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-30 |
| Florida Limited Liability | 2007-02-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
