| Entity Name: | OLIVE TREE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Feb 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L16000022489 |
| FEI/EIN Number | 811278187 |
| Address: | 2416 Lisenby AVE, PANAMA CITY, FL, 32405, US |
| Mail Address: | PO BOX 1886, LYNN HAVEN, FL, 32444, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407215254 | 2016-02-22 | 2016-02-22 | 300 CABANA BLVD, UNIT 1103, PANAMA CITY BEACH, FL, 324074563, US | 2810 HIGHWAY 77, D, PANAMA CITY, FL, 324054479, US | |||||||||||||||||
|
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| Phone | +1 704-779-3119 |
Authorized person
| Name | DR. SHIMIKA TOMES |
| Role | OWNER |
| Phone | 7047793119 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | PT26256 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOMES SHIMIKA L | Agent | BOX, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| TOMES SHIMIKA L | Authorized Person | 2408 Lisenby Ave, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-20 | TOMES, SHIMIKA L | No data |
| REINSTATEMENT | 2022-12-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-17 | 2416 Lisenby AVE, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-28 | BOX, 1886, LYNN HAVEN, FL 32444 | No data |
| CHANGE OF MAILING ADDRESS | 2016-08-26 | 2416 Lisenby AVE, PANAMA CITY, FL 32405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| REINSTATEMENT | 2022-12-20 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-09-17 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-09-21 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-02-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
