Entity Name: | APALACHICOLA PHYSICAL THERAPY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 12 Mar 2001 (24 years ago) |
Document Number: | P01000027121 |
FEI/EIN Number | 593756138 |
Address: | 111 AVE E, APALACHICOLA, FL, 32320 |
Mail Address: | PO BOX 207, APALACHICOLA, FL, 32329-0207 |
ZIP code: | 32320 |
County: | Franklin |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659599702 | 2007-04-23 | 2008-06-20 | PO BOX 207, APALACHICOLA, FL, 323290207, US | 111 AVENUE E, APALACHICOLA, FL, 323202041, US | |||||||||||||||||||
|
Phone | +1 850-653-4545 |
Fax | 8506534949 |
Authorized person
Name | MR. CHARLES THOMAS BROCATO |
Role | OWNER |
Phone | 8506531212 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | PT12314 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BROCATO CHARLES THOMAS | Agent | 111 AVE E, APALACHICOLA, FL, 32320 |
Name | Role | Address |
---|---|---|
BROCATO CHARLES THOMAS | Director | PO BOX 207, APALACHICOLA, FL, 32329 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000095184 | CARRABELLE PHYSICAL THERAPY | EXPIRED | 2012-09-28 | 2017-12-31 | No data | P.O. BOX 207, APALACHICOLA, FL, 32329 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CONVERSION | 2014-07-29 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L14000119731. CONVERSION NUMBER 500000142625 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State