| Entity Name: | FLORIDA MOVEMENT THERAPY CENTER-BOYNTON BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Jul 2007 (18 years ago) |
| Date of dissolution: | 18 Nov 2016 (8 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 18 Nov 2016 (8 years ago) |
| Document Number: | P07000086163 |
| FEI/EIN Number | 510643514 |
| Address: | 12040 JOG RD, #8, BOYNTON BEACH, FL, 33437 |
| Mail Address: | 12040 JOG RD, #8, BOYNTON BEACH, FL, 33437 |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013105196 | 2007-10-14 | 2015-10-23 | 12040 S JOG RD, SUITE #8, BOYNTON BEACH, FL, 334374164, US | 12040 S JOG RD, SUITE 8, BOYNTON BEACH, FL, 334374164, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 561-733-5083 |
Authorized person
| Name | MR. EDWARD PATRICK GRAY |
| Role | PRESIDENT |
| Phone | 5617335083 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 3436 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT 9734 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GRAY EDWARD P | Agent | 445 S.E. 17TH TERRACE, DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| GRAY EDWARD P | President | 445 S.E. 17 TH TERRACE, DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| GRAY JODI A | Vice President | 445 S.E. 17TH TERR, DEERFIELD, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| GRAY EDWARD P | Secretary | 445 S,E, 17TH TERR, DEERFIELD, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| GRAY JODI A | Treasurer | 445 S.E. 17TH TERR, DEERFIELD, FL, 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2016-11-18 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L16000211687. CONVERSION NUMBER 300000165893 |
| NAME CHANGE AMENDMENT | 2015-04-30 | FLORIDA MOVEMENT THERAPY CENTER-BOYNTON BEACH, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-20 | 12040 JOG RD, #8, BOYNTON BEACH, FL 33437 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-20 | 12040 JOG RD, #8, BOYNTON BEACH, FL 33437 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-05 |
| Name Change | 2015-04-30 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-02-20 |
| ANNUAL REPORT | 2010-02-25 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
