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DEERFIELD BEACH PHYSICAL THERAPY, INC.

Company Details

Entity Name: DEERFIELD BEACH PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Mar 2010 (15 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P10000021443
Mail Address: 4623 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33415
Address: 700 C SOUTH FEDERAL HIGHWAY, DEERFIELD BEACH, FL 33441
ZIP code: 33441
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245554393 2010-03-18 2010-03-18 PO BOX 20966, WEST PALM BEACH, FL, 334160966, US 700 S FEDERAL HWY, SUITE C, DEERFIELD BEACH, FL, 334415786, US

Contacts

Phone +1 561-967-8888
Fax 5616418303
Phone +1 954-571-1858
Fax 9544211048

Authorized person

Name DR. LAURENCE MAIR
Role PRESIDENT
Phone 5619678888

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9016
State FL
Is Primary Yes

Agent

Name Role Address
MAIR, LAURENCE S Agent 4623 FOREST HILL BLVD, 101, WEST PALM BEACH, FL 33415

President

Name Role Address
MAIR, LAURENCE S President 4623 FOREST HILL BLVD, WEST PALM BEACH, FL 33415

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
Domestic Profit 2010-03-10

Date of last update: 25 Jan 2025

Sources: Florida Department of State