| Entity Name: | ADVANCED PHYSICAL THERAPY OF ENGLEWOOD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Nov 2000 (24 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P00000110213 |
| FEI/EIN Number | 651062513 |
| Address: | 272 S INDIANA AVENUE, ENGLEWOOD, FL, 34223 |
| Mail Address: | 4141 S TAMIAMI TRAIL, SUITE, 18, SARASOTA, FL, 34231 |
| ZIP code: | 34223 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336214865 | 2006-11-21 | 2007-08-31 | 272 S INDIANA AVE, ENGLEWOOD, FL, 342233309, US | 272 S INDIANA AVE, ENGLEWOOD, FL, 342233309, US | |||||||||||||||||||||||||||
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| Phone | +1 941-474-6610 |
| Fax | 9414746620 |
Authorized person
| Name | KATHLEEN DEVINE |
| Role | OWNER |
| Phone | 9414746610 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FACILITY GROUP |
| Number | Y906T |
| State | FL |
| Issuer | AETNA HMO ONLY |
| Number | 4482146 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE KATHLEEN | Agent | 7338 PERIWINKLE DR, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE KATHLEEN | Director | 7338 PERIWINKLE DR, SARASOTA, FL, 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-01 | 272 S INDIANA AVENUE, ENGLEWOOD, FL 34223 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-05-23 | 272 S INDIANA AVENUE, ENGLEWOOD, FL 34223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-04-16 |
| ANNUAL REPORT | 2006-04-27 |
| ANNUAL REPORT | 2005-02-15 |
| ANNUAL REPORT | 2004-01-21 |
| ANNUAL REPORT | 2003-02-21 |
| ANNUAL REPORT | 2002-05-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
