| Entity Name: | PHYSICAL THERAPY MASTERS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Aug 2001 (24 years ago) |
| Date of dissolution: | 09 Apr 2009 (16 years ago) |
| Last Event: | VOL DISSOLUTION OF INACTIVE CORP |
| Event Date Filed: | 09 Apr 2009 (16 years ago) |
| Document Number: | P01000080146 |
| FEI/EIN Number | 593738448 |
| Address: | 1763 GRASSINGTON WAY S, JACKSONVILLE, FL, 32223 |
| Mail Address: | 1763 GRASSINGTON WAY S, JACKSONVILLE, FL, 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740286525 | 2005-06-25 | 2020-08-22 | 1763 GRASSINGTON WAY S, JACKSONVILLE, FL, 322235007, US | 1763 GRASSINGTON WAY S, JACKSONVILLE, FL, 322235007, US | |||||||||||||||||||
|
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| Phone | +1 904-262-9295 |
| Fax | 9042629295 |
Authorized person
| Name | CAROL ANNE BLOMGREN |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 9042629295 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 16806 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLOMGREN CAROL A | Agent | 1763 GRASSINGTON WAY SOUTH, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| BLOMGREN CAROL A | President | 1763 GRASSINGTON WAY S, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| BLOMGREN CAROL A | Director | 1763 GRASSINGTON WAY S, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOL DISSOLUTION OF INACTIVE CORP | 2009-04-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-01-05 | BLOMGREN, CAROL AMPT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-05 | 1763 GRASSINGTON WAY SOUTH, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| Vol. Diss. of Inactive Corp. | 2009-04-09 |
| ANNUAL REPORT | 2006-01-05 |
| ANNUAL REPORT | 2005-01-22 |
| ANNUAL REPORT | 2004-01-23 |
| ANNUAL REPORT | 2003-01-15 |
| ANNUAL REPORT | 2002-01-16 |
| Domestic Profit | 2001-08-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
