| Entity Name: | BACK-2-LIFE PHYSICAL THERAPY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jun 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: | P06000084440 |
| Address: | 2905 RIGSBY LANE, SAFETY HARBOR, FL, 34695, US |
| Mail Address: | 2905 RIGSBY LANE, SAFETY HARBOR, FL, 34695, US |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023154531 | 2007-01-30 | 2020-08-22 | 2905 RIGSBY LN, SAFETY HARBOR, FL, 346954828, US | 2905 RIGSBY LN, SAFETY HARBOR, FL, 346954828, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-797-0500 |
| Fax | 7277970050 |
Authorized person
| Name | DR. ERIC K GROTEKE |
| Role | OFFICER |
| Phone | 7277970500 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | U0235Z |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | U0292Z |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GROTEKE ERIC K | Director | 3048 GLENWOOD COURT, SAFETY HARBOR, FL, 34695 |
| CHOROROS HARRY J | Director | 340 SOUTH PALM AVENUE, SARASOTA, FL, 34236 |
| CROWLEY DAVID P | Director | 2905 RIGSBY LANE, SAFETY HARBOR, FL, 34695 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2006-06-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
