| Entity Name: | PALM COAST PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2006 (19 years ago) |
| Document Number: | P06000091066 |
| FEI/EIN Number | 205185694 |
| Address: | 3425 10th St North, NAPLES, FL, 34103, US |
| Mail Address: | 3425 10th St. North, NAPLES, FL, 34103, US |
| ZIP code: | 34103 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396842654 | 2006-09-20 | 2020-08-22 | 1056 GOODLETTE RD N, SUITE 100, NAPLES, FL, 341025488, US | 1056 GOODLETTE RD N, SUITE 100, NAPLES, FL, 341025488, US | |||||||||||||||
|
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| Phone | +1 239-430-0123 |
| Fax | 2394300124 |
Authorized person
| Name | MS. LORI P CRISWELL |
| Role | PRESIDENT |
| Phone | 2394300123 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRISWELL LORI | Agent | 3425 10th St North, NAPLES, FL, 34103 |
| Name | Role | Address |
|---|---|---|
| CRISWELL LORI P | Dr | 3425 10th St North, NAPLES, FL, 34103 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-17 | 3425 10th St North, suite 4, NAPLES, FL 34103 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-17 | 3425 10th St North, suite 4, NAPLES, FL 34103 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-17 | 3425 10th St North, suite 4, NAPLES, FL 34103 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-19 |
| ANNUAL REPORT | 2015-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
