| Entity Name: | PHYSICAL HEALTH CARE ADVISORS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Aug 2009 (15 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L09000076832 |
| Address: | 3048 GLENWOOD CT., SAFETY HARBOR, FL 34695 |
| Mail Address: | 3048 GLENWOOD CT., SAFETY HARBOR, FL 34695 |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578886396 | 2010-03-08 | 2018-06-20 | 3001 EASTLAND BLVD, BUILDING G, SUITE 2, CLEARWATER, FL, 337614104, US | 3001 EASTLAND BLVD, BUILDING G, SUITE 2, CLEARWATER, FL, 337614104, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 727-797-0500 |
| Fax | 7277970050 |
Authorized person
| Name | DR. ERIC K GROTEKE |
| Role | PRESIDENT |
| Phone | 7277970500 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8772 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED HEALTH CARE |
| Number | 656080 |
| State | FL |
| Issuer | CIGNA |
| Number | 9067913 |
| State | FL |
| Issuer | AM ERICAN SPECIALTY HEALTH |
| Number | 1038157 |
| State | FL |
| Issuer | FIRST HEALTH |
| Number | 1147626 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELF OF FL |
| Number | 71494 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GROTEKE, ERIC K | Agent | 3048 GLENWOOD CT., SAFETY HARBOR, FL 34695 |
| Name | Role | Address |
|---|---|---|
| GROTEKE, ERIC K | Managing Member | 3048 GLENWOOD CT., SAFETY HARBOR, FL 34695 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2009-08-11 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
