| Entity Name: | STEPHANIE CONLEY PHYSICAL THERAPIST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Oct 2013 (11 years ago) |
| Date of dissolution: | 13 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Apr 2015 (10 years ago) |
| Document Number: | L13000147763 |
| FEI/EIN Number | 32-0421273 |
| Address: | 4237 WINNERS GAIT, PACE, FL, 32571 |
| Mail Address: | 4237 WINNERS GAIT, PACE, FL, 32571 |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255760039 | 2013-11-02 | 2013-11-02 | 4237 WINNERS GAIT CIR, PACE, FL, 325716371, US | 9020 UNIVERSITY PKWY, CARING HEARTS, PENSACOLA, FL, 325145524, US | |||||||||||||||||||||
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| Phone | +1 850-475-0555 |
Authorized person
| Name | STEPHANIE MARIE CONLEY |
| Role | MANAGING MEMBER |
| Phone | 6073298445 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 28072 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1437587714 |
| Name | Role | Address |
|---|---|---|
| CONLEY STEPHANIE | Agent | 4237 WINNERS GAIT, PACE, FL, 32571 |
| Name | Role | Address |
|---|---|---|
| CONLEY STEPHANIE | Managing Member | 4237 WINNERS GAIT, PACE, FL, 32571 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-13 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-13 |
| ANNUAL REPORT | 2014-04-03 |
| Florida Limited Liability | 2013-10-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
