| Entity Name: | FIRST COAST PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Sep 2005 (19 years ago) |
| Document Number: | P05000132868 |
| FEI/EIN Number | 203630164 |
| Address: | 1 UNIVERSITY BLVD, ST AUGUSTINE, FL, 32086 |
| Mail Address: | 1 UNIVERSITY BLVD, Saint Augustine, FL, 32080, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003823709 | 2006-08-02 | 2020-08-22 | 390 CASSANDRA LN, ST AUGUSTINE, FL, 320867844, US | 252 SOUTHPARK CIR E, ST AUGUSTINE, FL, 320865137, US | |||||||||||||||||
|
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| Phone | +1 904-501-2008 |
Authorized person
| Name | MR. ROBERT WILLIAM STANBOROUGH |
| Role | PRESIDENT |
| Phone | 9045012008 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | 18156 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Olson Bryan | Agent | 1 UNIVERSITY BLVD, ST AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| Olson Bryan | Member | 1 UNIVERSITY BLVD, Saint Augustine, FL, 32086 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000136008 | FIRST COAST REHABILITATION | ACTIVE | 2022-10-31 | 2027-12-31 | No data | 1 UNIVERSITY BLVD, SAINT AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-01 | 1 UNIVERSITY BLVD, ST AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-01 | Olson, Bryan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-10 | 1 UNIVERSITY BLVD, ST AUGUSTINE, FL 32086 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-14 | 1 UNIVERSITY BLVD, ST AUGUSTINE, FL 32086 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-01 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-18 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
