| Entity Name: | SANDESTIN PHYSICAL THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Sep 2013 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L13000135129 |
| FEI/EIN Number | 30-0808187 |
| Mail Address: | 15000 EMERALD COAST PARKWAY, DESTIN, FL 32541 |
| Address: | 400 AUDUBON DRIVE, SUITE 500, MIRAMAR BEACH, FL 32550 |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104243914 | 2014-03-19 | 2014-03-19 | 15000 EMERALD COAST PKWY, DESTIN, FL, 325413338, US | 400 AUDUBON DR, MIRAMAR BEACH, FL, 325504594, US | |||||||||||||
|
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| Phone | +1 850-267-6767 |
Authorized person
| Name | ANGEL BARBER |
| Role | ADMINISTRATOR |
| Phone | 8502676767 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Koutsky, James C | Agent | 15000 EMERALD COAST PARKWAY, DESTIN, FL 32541 |
| Name | Role | Address |
|---|---|---|
| BARBER, ANGEL | Managing Member | 400 AUDUBON DRIVE, MIRAMAR BEACH, FL 32550 |
| Name | Role | Address |
|---|---|---|
| KOUTSKY, JAMES C | Chief Financial Officer | 15000 EMERALD COAST PARKWAY, DESTIN, FL 32541 |
| Name | Role | Address |
|---|---|---|
| RUSIN, SCOTT | Director | 400 AUDUBON DRIVE, SUITE 500 MIRAMAR BEACH, FL 32550 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | Koutsky, James C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 15000 EMERALD COAST PARKWAY, DESTIN, FL 32541 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-29 |
| Florida Limited Liability | 2013-09-25 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
