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BOWYER PHYSICAL THERAPY, INC.

Company Details

Entity Name: BOWYER PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Jun 2006 (19 years ago)
Document Number: P06000084437
FEI/EIN Number 20-5075764
Mail Address: 3211 Divot Road, SEBRING, FL 33872
Address: 3211 Divot Road, Sebring, FL 33872
ZIP code: 33872
County: Highlands
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649209362 2006-07-03 2012-04-19 100 YMCA LN, SEBRING, FL, 338754352, US 100 YMCA LN, SEBRING, FL, 338754352, US

Contacts

Phone +1 863-382-2949

Authorized person

Name MR. KEITH ANTHONY BOWYER JR.
Role PRESIDENT
Phone 8633822949

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PT16172
State FL
Is Primary Yes

Agent

Name Role Address
Bowyer, Keith, Jr. Agent 3211 Divot Road, Sebring, FL 33872

President

Name Role Address
BOWYER, KEITH A President 3211 DIVOT RD., SEBRING, FL 33872

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-01 3211 Divot Road, Sebring, FL 33872 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-01 3211 Divot Road, Sebring, FL 33872 No data
CHANGE OF MAILING ADDRESS 2021-04-02 3211 Divot Road, Sebring, FL 33872 No data
REGISTERED AGENT NAME CHANGED 2019-03-19 Bowyer, Keith, Jr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-03-19
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-03-19
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-20

Date of last update: 27 Jan 2025

Sources: Florida Department of State