| Entity Name: | KRIZ PHYSICAL THERAPY P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Oct 2007 (17 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 27 Oct 2009 (15 years ago) |
| Document Number: | P07000113547 |
| FEI/EIN Number | 26-1257552 |
| Address: | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 |
| Mail Address: | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861642464 | 2008-09-19 | 2024-06-14 | 26651 DUBLIN WOODS CIR, BONITA SPRINGS, FL, 341357246, US | 26651 DUBLIN WOODS CIR, BONITA SPRINGS, FL, 341357246, US | |||||||||||||||||||||||||
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| Phone | +1 239-992-6700 |
| Fax | 2399920900 |
Authorized person
| Name | MR. MICHAEL E KRIZ |
| Role | PRESIDENT |
| Phone | 2399926700 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT21144 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | BF035 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KRIZ, MICHAEL E | President | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 |
| Name | Role | Address |
|---|---|---|
| KRIZ, TIFFANY D | Treasurer | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 |
| Name | Role | Address |
|---|---|---|
| KRIZ, TIFFANY D | Secretary | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 |
| Name | Role | Address |
|---|---|---|
| KRIZ, MICHAEL E | Director | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-05 | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-05 | 26651 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 | No data |
| CANCEL ADM DISS/REV | 2009-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2008-10-15 | No data | No data |
| AMENDMENT | 2008-01-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-04-04 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-03-30 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
