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OCEANSIDE PHYSICAL THERAPY, INC.

Company Details

Entity Name: OCEANSIDE PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Jun 2003 (22 years ago)
Document Number: P03000067007
FEI/EIN Number 571172970
Address: 931 SE Ocean Blvd, Suite A, STUART, FL, 34994, US
Mail Address: 931 SE Ocean Blvd, Suite A, STUART, FL, 34994, US
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760436034 2006-05-20 2023-09-06 931 SE OCEAN BLVD, STE A, STUART, FL, 34994, US 931 SE OCEAN BLVD, STE A, STUART, FL, 34994, US

Contacts

Phone +1 772-283-3820
Fax 7722833825

Authorized person

Name MR. BRYAN LESLIE GRAHAM
Role PRESIDENT
Phone 7722833820

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number PT 17379
State FL
Is Primary Yes

Agent

Name Role Address
GRAHAM BRYAN L Agent 931 SE Ocean Blvd, STUART, FL, 34994

President

Name Role Address
GRAHAM BRYAN L President 931 SE Ocean Blvd, STUART, FL, 34994

Treasurer

Name Role Address
GRAHAM BRYAN L Treasurer 931 SE Ocean Blvd, STUART, FL, 34994

Director

Name Role Address
GRAHAM BRYAN L Director 931 SE Ocean Blvd, STUART, FL, 34994

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-05-05 931 SE Ocean Blvd, Suite A, STUART, FL 34994 No data
CHANGE OF MAILING ADDRESS 2021-05-05 931 SE Ocean Blvd, Suite A, STUART, FL 34994 No data
REGISTERED AGENT ADDRESS CHANGED 2021-05-05 931 SE Ocean Blvd, Suite A, STUART, FL 34994 No data
REGISTERED AGENT NAME CHANGED 2004-09-13 GRAHAM, BRYAN L No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-05-09
ANNUAL REPORT 2021-05-05
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-05-13
ANNUAL REPORT 2018-03-23
Off/Dir Resignation 2017-11-27
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-04-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State