| Entity Name: | MOUNT DORA PHYSICAL THERAPY SPECIALISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Nov 2011 (13 years ago) |
| Document Number: | P11000098797 |
| FEI/EIN Number | 453952888 |
| Address: | 2012 NORTH DONNELLY STREET, MOUNT DORA, FL, 32757 |
| Mail Address: | PO BOX 1478, MOUNT DORA, FL, 32756 |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336411065 | 2012-01-26 | 2013-06-05 | PO BOX 1478, MOUNT DORA, FL, 327561478, US | 2012 N DONNELLY ST, MOUNT DORA, FL, 327572824, US | |||||||||||||||||
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| Phone | +1 352-729-3565 |
Authorized person
| Name | WILLIAM DAVID MOULDER |
| Role | DIRECTOR |
| Phone | 3527293565 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | P11000098797 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOULDER W. DAVID | Agent | 492 Lanarkshire Pl, Apopka, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| Moulder W. D | Director | 492 Lanarkshire Pl., Apopka, FL, 32712 |
| MOULDER ANA PAULA | Director | 492 Lanarkshire Pl., Apopka, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-08 | 492 Lanarkshire Pl, Apopka, FL 32712 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-11-19 | 2012 NORTH DONNELLY STREET, MOUNT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2012-11-19 | 2012 NORTH DONNELLY STREET, MOUNT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-31 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3974328310 | 2021-01-22 | 0491 | PPS | 2012 N Donnelly St, Mount Dora, FL, 32757-2824 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
