| Entity Name: | DAVIS PHYSICAL THERAPY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 2014 (10 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P14000071869 |
| Address: | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| Mail Address: | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770980237 | 2014-11-28 | 2014-11-28 | 227 TADCASTER CT, SAINT JOHNS, FL, 322597256, US | 7685 103RD ST, SUITE 1, JACKSONVILLE, FL, 322109325, US | |||||||||||||||||||||||||
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| Phone | +1 904-287-9969 |
| Phone | +1 904-771-1116 |
Authorized person
| Name | MR. STEPHEN T DAVIS |
| Role | CEO |
| Phone | 9042879969 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT25261 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1992771851 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS STEPHEN T | Agent | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| DAVIS STEPHEN T | President | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| DAVIS STEPHEN T | Secretary | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| DAVIS STEPHEN T | Treasurer | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| DAVIS STEPHEN T | Director | 227 TADCASTER CT., ST JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2014-08-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
