| Entity Name: | TIDEWATER PHYSICAL THERAPY ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Mar 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L21000100788 |
| FEI/EIN Number | 86-2550623 |
| Address: | 6009 AMBERLY DRIVE, BRADENTON, FL, 34208, US |
| Mail Address: | 6009 AMBERLY DRIVE, BRADENTON, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972188696 | 2021-03-15 | 2021-03-15 | 6009 AMBERLY DR, BRADENTON, FL, 342084545, US | 6009 AMBERLY DR, BRADENTON, FL, 342084545, US | |||||||||||||||||
|
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| Phone | +1 215-962-9557 |
Authorized person
| Name | DR. FRANK FEDORCZYK |
| Role | OWNER |
| Phone | 2159629557 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FEDORCZYK FRANK | Agent | 6009 AMBERLY DRIVE, BRADENTON, FL, 34208 |
| Name | Role | Address |
|---|---|---|
| FEDORCZYK FRANK | Manager | 6009 AMBERLY DRIVE, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-11 |
| Florida Limited Liability | 2021-03-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
