| Entity Name: | MAYA PHYSICAL THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MAYA PHYSICAL THERAPY INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 15 Oct 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 05 Oct 2007 (18 years ago) |
| Document Number: | P02000110860 |
| FEI/EIN Number |
030486608
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5745 S UNIVERSITY DRIVE, DAVIE, FL, 33328, US |
| Mail Address: | 5745 S UNIVERSITY DRIVE, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962717868 | 2010-08-16 | 2013-02-08 | 4022 TURQUOISE TRL, WESTON, FL, 333313182, US | 5745 S UNIVERSITY DR, DAVIE, FL, 333286114, US | |||||||||||||||||||||||||
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| Phone | +1 954-252-9619 |
| Fax | 9542529620 |
Authorized person
| Name | SANJAIMON K NADUPARAMBIL |
| Role | PRESIDENT |
| Phone | 9542740415 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT19750 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004243200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NADUPARAMPIL SANJAIMON | President | 4022 TURQUOISE TRAIL, WESTON, FL, 33331 |
| NADUPARAMPIL SANJAIMON | Agent | 4022 TURQUOISE TRAIL, WESTON, FL, 33331 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000033528 | MAYA PHYSICAL THERAPY INC. | ACTIVE | 2021-03-10 | 2026-12-31 | - | 110 N FEDERAL HIGHWAY UNIT 203, HALLANDALE, FL, 33009 |
| G11000109646 | PHYSICAL THERAPY AND WELLNES CENTER | EXPIRED | 2011-11-10 | 2016-12-31 | - | 5745 S UNIVERSITY DRIVE, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 5745 S UNIVERSITY DRIVE, DAVIE, FL 33328 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-30 | 5745 S UNIVERSITY DRIVE, DAVIE, FL 33328 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-08 | 4022 TURQUOISE TRAIL, WESTON, FL 33331 | - |
| REGISTERED AGENT NAME CHANGED | 2008-07-08 | NADUPARAMPIL, SANJAIMON | - |
| CANCEL ADM DISS/REV | 2007-10-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| CANCEL ADM DISS/REV | 2003-10-30 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3496697706 | 2020-05-01 | 0455 | PPP | 5745 S UNIVERSITY DRIVE, DAVIE, FL, 33328 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5143898500 | 2021-02-27 | 0455 | PPS | 5745 S University Dr, Davie, FL, 33328-6114 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
