| Entity Name: | BROOKLINE PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Mar 2011 (14 years ago) |
| Document Number: | P11000022242 |
| FEI/EIN Number | 275491506 |
| Address: | 6751 Gall Blvd, Zephyrhills, FL, 33542, US |
| Mail Address: | PO Box 1447, Zephyrhills, FL, 33539, US |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649558818 | 2011-07-22 | 2023-04-11 | 10691 CROSS CREEK BLVD STE 200, TAMPA, FL, 336474058, US | 10691 CROSS CREEK BLVD STE 200, TAMPA, FL, 336474058, US | |||||||||||||||||||
|
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| Phone | +1 813-527-6913 |
| Fax | 8135276989 |
Authorized person
| Name | MR. JOHN VINCENT ESGUERRA |
| Role | PRESIDENT |
| Phone | 7272393881 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ESGUERRA JOHN | Agent | 10691 Cross Creek Blvd, Tampa, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| ESGUERRA JOHN | President | 1002 SPOONTAIL COURT, TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| ESGUERRA LEA | Vice President | 1002 SPOONTAIL COURT, TARPON SPRINGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 6751 Gall Blvd, Zephyrhills, FL 33542 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-11 | 6751 Gall Blvd, Zephyrhills, FL 33542 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-11 | 10691 Cross Creek Blvd, 200, Tampa, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
