| Entity Name: | AQUA PARK PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Apr 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Nov 2019 (5 years ago) |
| Document Number: | P09000038772 |
| FEI/EIN Number | 264837384 |
| Address: | 159 Westwood Drive, Daytona Beach, FL, 32119, US |
| Mail Address: | 159 Westwood Drive, Daytona Beach, FL, 32119, US |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992930218 | 2009-05-17 | 2022-01-21 | 159 WESTWOOD DR, DAYTONA BEACH, FL, 321191426, US | 159 WESTWOOD DR, DAYTONA BEACH, FL, 321191426, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 386-679-2914 |
| Fax | 3864237865 |
Authorized person
| Name | MRS. ROBYN LYNNE MURRAY |
| Role | PRESIDENT |
| Phone | 3866792914 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT22801 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Murray ROBYN L | Agent | 159 Westwood Drive, Daytona Beach, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| Murray ROBYN L | Dr | 159 Westwood Drive, Daytona Beach, FL, 32119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-03 | Murray, ROBYN L | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-19 | 159 Westwood Drive, Daytona Beach, FL 32119 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-19 | 159 Westwood Drive, Daytona Beach, FL 32119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-19 | 159 Westwood Drive, Daytona Beach, FL 32119 | No data |
| REINSTATEMENT | 2019-11-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-06-19 |
| REINSTATEMENT | 2019-11-14 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
