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QUINN PHYSICAL THERAPY, P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
QUINN JOHN Agent 4093 BOND CIR, NICEVILLE, FL, 32578

Secretary

Name Role Address
QUINN JOHN Secretary 4093 BOND CIR, NICEVILLE, FL, 32578

Treasurer

Name Role Address
QUINN JOHN Treasurer 4093 BOND CIR, NICEVILLE, FL, 32578

President

Name Role Address
QUINN JOHN President 4093 BOND CIR, NICEVILLE, FL, 32578

Date of last update: 01 Jan 2025

Sources: Florida Department of State