| Entity Name: | MODERN PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Mar 2006 (19 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P06000032392 |
| Address: | 10610 N. 56TH ST., TEMPLE TERRACE, FL, 33617 |
| Mail Address: | 10610 N. 56TH ST., TEMPLE TERRACE, FL, 33617 |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790718088 | 2006-07-09 | 2022-07-21 | 10610 N 56TH ST, TEMPLE TERRACE, FL, 336173641, US | 10610 N 56TH ST, TEMPLE TERRACE, FL, 336173641, US | |||||||||||||||||||
|
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| Phone | +1 813-988-1200 |
| Fax | 8139881228 |
Authorized person
| Name | MR. WILLIAM C. ROCKER |
| Role | PRESIDENT |
| Phone | 8139881200 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT7877 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROCKER WILLIAM C | Agent | 3908 W MULLEN AVE, TAMPA, FL, 336094427 |
| Name | Role | Address |
|---|---|---|
| ROCKER WILLIAM C | President | 3908 W MULLEN AVE, TAMPA, FL, 336094427 |
| Name | Role | Address |
|---|---|---|
| ROCKER WILLIAM C | Director | 3908 W MULLEN AVE, TAMPA, FL, 336094427 |
| Name | Role | Address |
|---|---|---|
| SUH YOUNGSOO | Treasurer | 3908 W MULLEN AVE, TAMPA, FL, 336094427 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-09-26 | 10610 N. 56TH ST., TEMPLE TERRACE, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2006-09-26 | 10610 N. 56TH ST., TEMPLE TERRACE, FL 33617 | No data |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2006-09-08 |
| Domestic Profit | 2006-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
