| Entity Name: | ADVANCED PHYSICAL THERAPY OF PALMETTO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Jan 2004 (21 years ago) |
| Date of dissolution: | 04 Jun 2009 (16 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Jun 2009 (16 years ago) |
| Document Number: | P04000008191 |
| FEI/EIN Number | 200587850 |
| Address: | 908 RIVERSIDE DR, SUITE 430, PALMETTO, FL, 34221 |
| Mail Address: | 7338 PERIWINKLE DR, SUITE 430, SARASOTA, FL, 34231 |
| ZIP code: | 34221 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952476400 | 2006-11-21 | 2007-10-09 | 908 RIVERSIDE DR, SUITE 430, PALMETTO, FL, 342215035, US | 908 RIVERSIDE DR, SUITE 430, PALMETTO, FL, 342215035, US | |||||||||||||||||||||||||||
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| Phone | +1 941-721-6111 |
| Fax | 9417216119 |
Authorized person
| Name | KATHLEEN DEVINE |
| Role | OWNER |
| Phone | 9417216111 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FACILITY GROUP |
| Number | Y906V |
| State | FL |
| Issuer | AETNA HMO ONLY |
| Number | 3631067 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE KATHLEEN | Agent | 7338 PERIWINKLE DR, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE KATHLEEN | Director | 7338 PERIWINKLE DR, SARASOTA, FL, 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-06-04 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-26 | 908 RIVERSIDE DR, SUITE 430, PALMETTO, FL 34221 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-09 | 908 RIVERSIDE DR, SUITE 430, PALMETTO, FL 34221 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2009-06-04 |
| ANNUAL REPORT | 2008-04-26 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-21 |
| ANNUAL REPORT | 2005-02-09 |
| Domestic Profit | 2004-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
