| Entity Name: | PHYSIO MED OF SARASOTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Oct 2004 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 11 Jan 2005 (20 years ago) |
| Document Number: | P04000145420 |
| FEI/EIN Number | 900211651 |
| Address: | 4165 CLARK ROAD, UNIT D2, SARASOTA, FL, 34233 |
| Mail Address: | 4165 CLARK ROAD, UNIT D2, SARASOTA, FL, 34233 |
| ZIP code: | 34233 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326127929 | 2006-11-03 | 2020-08-22 | 5766 BRONX AVENUE, SUITE B, SARASOTA, FL, 34231, US | 5766 BRONX AVENUE, SUITE B, SARASOTA, FL, 34231, US | |||||||||||||||
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| Phone | +1 941-925-8273 |
| Fax | 9419259027 |
Authorized person
| Name | MRS. BRANDIE P SUTPHIN |
| Role | PRESIDENT |
| Phone | 9419258273 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUTPHIN BRANDEE P | Agent | 4165 CLARK ROAD, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| SUTPHIN BRANDEE | President | 4165 CLARK ROAD, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| SUTPHIN BRANDEE | Secretary | 4165 CLARK ROAD, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| SUTPHIN BRANDEE | Treasurer | 4165 CLARK ROAD, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| OLIVA JOSE | Vice President | 4165 CLARK ROAD, SARASOTA, FL, 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-14 | 4165 CLARK ROAD, UNIT D2, SARASOTA, FL 34233 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-14 | 4165 CLARK ROAD, UNIT D2, SARASOTA, FL 34233 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-14 | 4165 CLARK ROAD, UNIT D2, SARASOTA, FL 34233 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-03-07 | SUTPHIN, BRANDEE P | No data |
| AMENDMENT | 2005-01-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
