| Entity Name: | DOWNSTATE PHYSICAL THERAPY ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Nov 2000 (24 years ago) |
| Document Number: | P00000106050 |
| FEI/EIN Number | 651054127 |
| Address: | 4712 GRAPEVINE WAY, DAVIE, FL, 33331 |
| Mail Address: | 4712 GRAPEVINE WAY, DAVIE, FL, 33331 |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588627871 | 2006-04-09 | 2020-08-22 | PO BOX 15488, PLANTATION, FL, 333185488, US | 10575 NW 11TH CT, PLANTATION, FL, 333226563, US | |||||||||||||||||||||||||||
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| Phone | +1 954-609-4797 |
| Fax | 9544233283 |
Authorized person
| Name | MR. CHRISTOPHER JOHN MAYOTT |
| Role | PRESIDENT |
| Phone | 9546094797 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 15565 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 15798 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DIFIORE CHRISTINE M | Agent | 14201 W SUNRISE BLVD, STE 201, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| GUALTIERI VANIA C | President | 4712 GRAPEVINE WAY, DAVIE, FL, 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-12-28 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
