Entity Name: | QUINN PHYSICAL THERAPY, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 08 Apr 2002 (23 years ago) |
Document Number: | P02000039970 |
FEI/EIN Number | 010663631 |
Address: | 623 HIGHWAY 98 EAST, SUITE #5, DESTIN, FL, 32541 |
Mail Address: | 623 HIGHWAY 98 EAST, SUITE #5, DESTIN, FL, 32541 |
ZIP code: | 32541 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093735573 | 2006-07-20 | 2020-08-22 | 623 HARBOR BLVD, SUITE # 5, DESTIN, FL, 325412466, US | 623 HARBOR BLVD, SUITE # 5, DESTIN, FL, 325412466, US | |||||||||||||||
|
Phone | +1 850-654-8588 |
Fax | 8506548758 |
Authorized person
Name | JOHN E QUINN |
Role | PRESIDENT |
Phone | 8506548588 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
QUINN JOHN | Agent | 4093 BOND CIR, NICEVILLE, FL, 32578 |
Name | Role | Address |
---|---|---|
QUINN JOHN | Secretary | 4093 BOND CIR, NICEVILLE, FL, 32578 |
Name | Role | Address |
---|---|---|
QUINN JOHN | Treasurer | 4093 BOND CIR, NICEVILLE, FL, 32578 |
Name | Role | Address |
---|---|---|
QUINN JOHN | President | 4093 BOND CIR, NICEVILLE, FL, 32578 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State