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WELLINGTON PHYSICAL THERAPY INC.

Company Details

Entity Name: WELLINGTON PHYSICAL THERAPY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 May 2005 (20 years ago)
Date of dissolution: 30 Apr 2024 (9 months ago)
Last Event: PENDING REINSTATEMENT
Event Date Filed: 30 Apr 2024 (9 months ago)
Document Number: P05000064759
FEI/EIN Number 202788821
Address: 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414, US
Mail Address: 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790842854 2007-01-01 2014-08-19 12797 W. FOREST HILL BLVD, SUITE B, WELLINGTON, FL, 33414, US 12797 W. FOREST HILL BLVD, SUITE B, WELLINGTON, FL, 33414, US

Contacts

Phone +1 561-793-5550
Fax 5617935788

Authorized person

Name MATTHEW TAVOLACCI
Role MANAGER
Phone 5617935550

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH10273
State FL
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
License Number PT21779
State FL
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
License Number PT27611
State FL
Is Primary Yes

Agent

Name Role Address
TAVOLACCI MATTHEW J Agent 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414

President

Name Role Address
TAVOLACCI MATTHEW J President 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414

Vice President

Name Role Address
TAVOLACCI MATTHEW J Vice President 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414

Director

Name Role Address
TAVOLACCI MATTHEW J Director 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414

Secretary

Name Role Address
TAVOLACCI MATTHEW J Secretary 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414

Treasurer

Name Role Address
TAVOLACCI MATTHEW J Treasurer 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-28 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL 33414 No data
CHANGE OF MAILING ADDRESS 2021-04-28 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL 33414 No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-28 12785 W. FOREST HILL BLVD. C, WELLINGTON, FL 33414 No data
REINSTATEMENT 2019-10-08 No data No data
REGISTERED AGENT NAME CHANGED 2019-10-08 TAVOLACCI, MATTHEW J No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2014-06-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CANCEL ADM DISS/REV 2006-12-07 No data No data

Documents

Name Date
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-30
REINSTATEMENT 2019-10-08
ANNUAL REPORT 2017-05-19
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-28
REINSTATEMENT 2014-06-26
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-04-27

Date of last update: 03 Feb 2025

Sources: Florida Department of State