| Entity Name: | SUNCOAST PHYSICAL THERAPY & REHAB., LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Mar 2008 (17 years ago) |
| Date of dissolution: | 24 Aug 2009 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Aug 2009 (15 years ago) |
| Document Number: | L08000027224 |
| Address: | 308 53 AVE E STE A, BRADENTON, FL, 34203 |
| Mail Address: | 308 53 AVE E STE A, BRADENTON, FL, 34203 |
| ZIP code: | 34203 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366612814 | 2008-03-11 | 2008-07-15 | 308 53RD AVE E, SUITE 'A', BRADENTON, FL, 342034706, US | 308 53RD AVE E, SUITE 'A', BRADENTON, FL, 342034706, US | |||||||||||||||||||
|
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| Phone | +1 941-752-1625 |
| Fax | 9417522936 |
Authorized person
| Name | LORI HUNTER |
| Role | ADMINISTRATOR |
| Phone | 9417521625 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 18280B |
| Name | Role | Address |
|---|---|---|
| HUNTER LORI A | Agent | 308 53 AVE E STE A, BRADENTON, FL, 34203 |
| Name | Role | Address |
|---|---|---|
| FORD ROBERT E | Manager | 2828 S TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| HUNTER LORI L | Managing Member | 308 53 AVE E STE A, BRADENTON, FL, 34203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-08-24 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-08-24 |
| Florida Limited Liability | 2008-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
