Entity Name: | LAUREL PHYSICAL THERAPY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 18 Mar 2013 (12 years ago) |
Date of dissolution: | 02 Jul 2013 (12 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 02 Jul 2013 (12 years ago) |
Document Number: | P13000025007 |
Address: | 116 CANAL ST., D, NEW SMYRNA BEACH, FL, 32168, US |
Mail Address: | 116 CANAL ST., D, NEW SMYRNA BEACH, FL, 32168, US |
ZIP code: | 32168 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639513518 | 2013-04-23 | 2013-04-23 | 116 CANAL ST STE D, NEW SMYRNA, FL, 321687076, US | 433 N CAUSEWAY, NEW SMYRNA, FL, 321695266, US | |||||||||||||||
|
Phone | +1 386-679-5471 |
Authorized person
Name | CAROL WEIGHTMAN |
Role | CO-OWNER/DIRECTOR |
Phone | 3864268327 |
Taxonomy
Taxonomy Code | 302R00000X - Health Maintenance Organization |
License Number | P1300025007 |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HOMAN THOMAS E | Agent | 116 CANAL ST., NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
WEIGHTMAN EVERETT | Director | 116 CANAL ST., STE. D, NEW SMYRNA BEACH, FL, 32168 |
HOMAN THOMAS E | Director | 116 CANAL ST., STE. D, NEW SMYRNA BEACH, FL, 32168 |
WEIGHTMAN CAROL | Director | 116 CANAL ST., STE. D, NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
WEIGHTMAN EVERETT | President | 116 CANAL ST., STE. D, NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
HOMAN THOMAS E | Treasurer | 116 CANAL ST., STE. D, NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
WEIGHTMAN CAROL | Secretary | 116 CANAL ST., STE. D, NEW SMYRNA BEACH, FL, 32168 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2013-07-02 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2013-07-02 |
Domestic Profit | 2013-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State