| Entity Name: | THERAPEUTIC BODYWORK & MASSAGE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Dec 2004 (20 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P04000169167 |
| FEI/EIN Number | 421655259 |
| Address: | 303 E 7TH STREET, PANAMA CITY, FL, 32401 |
| Mail Address: | 401 Pace Street, Longmont, CO, 80504, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902025711 | 2007-04-24 | 2020-08-22 | 303 E 7TH ST, PANAMA CITY, FL, 324013032, US | 303 E 7TH ST, PANAMA CITY, FL, 324013032, US | |||||||||||||||||||||||||
|
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| Phone | +1 850-747-1277 |
| Fax | 8507844441 |
Authorized person
| Name | MS. MARY ELIZABETH FUSILIER |
| Role | PRESIDENT |
| Phone | 8507471277 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA 41685 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | C3868 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FUSILIER MARY | Agent | 303 E 7TH STREET, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| FUSILIER MARY | Manager | 303 E 7TH STREET, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-25 | 303 E 7TH STREET, PANAMA CITY, FL 32401 | No data |
| NAME CHANGE AMENDMENT | 2005-04-28 | THERAPEUTIC BODYWORK & MASSAGE, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-06-20 |
| ANNUAL REPORT | 2011-02-02 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-04-20 |
| ANNUAL REPORT | 2007-04-18 |
| ANNUAL REPORT | 2006-04-10 |
| Name Change | 2005-04-28 |
| ANNUAL REPORT | 2005-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
