| Entity Name: | FIRST LINE PHYSICAL THERAPY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Jan 2018 (7 years ago) |
| Date of dissolution: | 20 Sep 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Sep 2021 (3 years ago) |
| Document Number: | L18000027417 |
| FEI/EIN Number | 82-4280988 |
| Address: | 29446 TANSY PASS, WESLEY CHAPEL, FL, 33543 |
| Mail Address: | 29446 TANSY PASS, WESLEY CHAPEL, FL, 33543 |
| ZIP code: | 33543 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184123275 | 2018-02-05 | 2020-05-06 | 29446 TANSY PASS, WESLEY CHAPEL, FL, 335436579, US | 29446 TANSY PASS, WESLEY CHAPEL, FL, 335436579, US | |||||||||||||||||||||||||
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| Phone | +1 813-399-3963 |
| Fax | 8136025524 |
| Phone | +1 727-364-1501 |
Authorized person
| Name | RICHARD DOUGLAS JOHN |
| Role | PHYSICAL THERAPIST/OWNER |
| Phone | 7273641501 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT28541 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOHN RICHARD D | Agent | 29446 TANSY PASS, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| JOHN RICHARD D | Authorized Member | 29446 TANSY PASS, WESLEY CHAPEL, FL, 33543 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-09-20 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-09-20 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-04-29 |
| Florida Limited Liability | 2018-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
