| Entity Name: | GRAY PHYSICAL THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 May 2012 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P12000040569 |
| FEI/EIN Number | 45-5202714 |
| Address: | 105 BALLENISLES CIRCLE, PALM BEACH GARDENS, FL 33418 |
| Mail Address: | 105 BALLENISLES CIRCLE, PALM BEACH GARDENS, FL 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134472988 | 2012-10-17 | 2012-10-17 | 105 BALLENISLES CIR, PALM BEACH GARDENS, FL, 334183822, US | 105 BALLENISLES CIR, PALM BEACH GARDENS, FL, 334183822, US | |||||||||||||||||||
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| Phone | +1 561-625-2637 |
| Fax | 5616255752 |
Authorized person
| Name | DR. THOMAS DEWAYNE GRAY |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 5616252637 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT25353 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, MARIA A | Agent | 8045 LABORIE LN, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| THOMAS, GRAY | President | 7041 HAWKS NEST TER, RIVIERA BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| BRENNIS DE GRAY, LIZET | Vice President | 7041 HAWKS NEST TER, RIVIERA BEACH, FL 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-08 | 105 BALLENISLES CIRCLE, PALM BEACH GARDENS, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-08 | 105 BALLENISLES CIRCLE, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-26 |
| Domestic Profit | 2012-05-01 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
