| Entity Name: | CORAL SPRINGS PHYSICAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Apr 2014 (11 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: | P14000029363 |
| FEI/EIN Number | 46-5276544 |
| Address: | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| Mail Address: | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306256987 | 2014-05-05 | 2014-06-13 | 9858 CLINT MOORE RD, C111-274, BOCA RATON, FL, 334961034, US | 9720 W SAMPLE RD, CORAL SPRINGS, FL, 330654004, US | |||||||||||||||||||||||
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| Phone | +1 561-482-1144 |
| Fax | 5614821145 |
| Phone | +1 954-752-7373 |
| Fax | 9547527351 |
Authorized person
| Name | ALIYAH STOTTER |
| Role | OWNER |
| Phone | 9547527373 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | CH9519 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEYER, ALBERT R | Agent | 200 KNUTH RD, SUITE 101, BOYNTON BEACH, FL 33436 |
| Name | Role | Address |
|---|---|---|
| KUHLMEIER, CRAIG | Director | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| STOTTER, ALIYAH | Director | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| Name | Role | Address |
|---|---|---|
| KUHLMEIER, CRAIG | President | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| STOTTER, ALIYAH | President | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| Name | Role | Address |
|---|---|---|
| STOTTER, ALIYAH | Treasurer | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| Name | Role | Address |
|---|---|---|
| STOTTER, ALIYAH | Secretary | 9720 W. SAMPLE RD, CORAL SPRINGS, FL 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-23 |
| Domestic Profit | 2014-04-01 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
