| Entity Name: | ALL COAST THERAPY SERVICES-OUTPATIENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Dec 2008 (16 years ago) |
| Document Number: | P08000108302 |
| FEI/EIN Number | 263950206 |
| Address: | 13940 NORTH U.S. HIGHWAY 441, SUITE 702, LADY LAKE, FL, 32159 |
| Mail Address: | 13940 NORTH U.S. HIGHWAY 441, SUITE 702, LADY LAKE, FL, 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346539053 | 2011-04-04 | 2011-04-04 | PO BOX 490210, LEESBURG, FL, 347490210, US | 740 W BURLEIGH BLVD, TAVARES, FL, 327782302, US | |||||||||||||||||||||||
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| Phone | +1 352-326-4014 |
| Fax | 3523264126 |
| Phone | +1 352-742-1016 |
Authorized person
| Name | MICHAEL HORSLEY |
| Role | OWNER |
| Phone | 3523264014 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | RS4 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HORSLEY MICHAEL | Agent | 13940 NORTH U.S.HIGHWAY 441, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| HORSLEY MICHAEL | President | 13940 NORTH U.S. HIGHWAY 441, SUITE 702, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| HORSLEY MICHAEL | Director | 13940 NORTH U.S. HIGHWAY 441, SUITE 702, LADY LAKE, FL, 32159 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-02-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
