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ELITE PHYSICAL THERAPY & REHAB, INC.

Company Details

Entity Name: ELITE PHYSICAL THERAPY & REHAB, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Dec 2009 (15 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P09000099487
FEI/EIN Number 27-1461478
Address: 18350 MURDOCK CIRCLE, SUITE 102, PORT CHARLOTTE, FL 33948
Mail Address: PO BOX 494857, PORT CHARLOTTE, FL 33949
ZIP code: 33948
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255660619 2009-12-15 2009-12-15 PO BOX 494857, PORT CHARLOTTE, FL, 339494857, US 1032 TAMIAMI TRL, UNIT 1, PORT CHARLOTTE, FL, 339533802, US

Contacts

Phone +1 941-916-2313
Fax 9412067250

Authorized person

Name MRS. RAJAKUMARI MUPPAVARAPU
Role DIRECTOR
Phone 9419162313

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
LANE, DANIEL A Agent 4166 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33952

President

Name Role Address
MUPPAVARAPU, RAJAKUMARI President PO BOX 494857, PORT CHARLOTTE, FL 33949

Director

Name Role Address
MUPPAVARAPU, RAJAKUMARI Director PO BOX 494857, PORT CHARLOTTE, FL 33949

Secretary

Name Role Address
MUPPAVARAPU, RAJAKUMARI Secretary PO BOX 494857, PORT CHARLOTTE, FL 33949

Treasurer

Name Role Address
MUPPAVARAPU, RAJAKUMARI Treasurer PO BOX 494857, PORT CHARLOTTE, FL 33949

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-18 18350 MURDOCK CIRCLE, SUITE 102, PORT CHARLOTTE, FL 33948 No data
REINSTATEMENT 2010-10-21 No data No data
CHANGE OF MAILING ADDRESS 2010-10-21 18350 MURDOCK CIRCLE, SUITE 102, PORT CHARLOTTE, FL 33948 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2012-01-12
ANNUAL REPORT 2011-01-18
REINSTATEMENT 2010-10-21
Domestic Profit 2009-12-10

Date of last update: 25 Jan 2025

Sources: Florida Department of State