| Entity Name: | SANTISO PT, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Nov 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Jan 2022 (3 years ago) |
| Document Number: | P11000095406 |
| FEI/EIN Number | 453799484 |
| Address: | 3296 N Federal Hwy, FORT LAUDERDALE, FL, 33306, US |
| Mail Address: | 3296 N Federal, FORT LAUDERDALE, FL, 33306, US |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023395365 | 2011-11-15 | 2012-06-01 | 110 N FEDERAL HWY APT 915, FT LAUDERDALE, FL, 333013515, US | 110 N FEDERAL HWY APT 915, FT LAUDERDALE, FL, 333013515, US | |||||||||||||||||||||||
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| Phone | +1 954-288-7480 |
Authorized person
| Name | AARON SANTISO |
| Role | OWNER/PRESIDENT/CEO |
| Phone | 9542887480 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 21532 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | FU810A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTISO AARON R | Agent | 3296 N Federal Hwy, FORT LAUDERDALE, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| SANTISO AARON R | President | 3200 N Federal Hwy, FORT LAUDERDALE, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-26 | 3296 N Federal Hwy, 11833, FORT LAUDERDALE, FL 33306 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 3296 N Federal Hwy, 11833, FORT LAUDERDALE, FL 33306 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 3296 N Federal Hwy, 11833, FORT LAUDERDALE, FL 33306 | No data |
| REINSTATEMENT | 2022-01-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-31 | SANTISO, AARON R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-01-26 |
| REINSTATEMENT | 2022-01-31 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-02-05 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-06-09 |
| ANNUAL REPORT | 2014-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
